CMS pressured by Democrats to better evaluate how artificial intelligence is utilized by MA plans

As per an article published last Friday, House Democrats are pressuring the Centers for Medicare & Medicaid Services (CMS) to better evaluate how artificial intelligence is utilized by Medicare Advantage (MA) plans, hoping to prevent eye-catching rates of denial. House Democrats, led by Reps. Judy Chu and Jerrold Nadler, have expressed concerns about CMS’s prior authorization requirements and the use of AI-driven tools by MA plans. The aim is clear: to prevent high denial rates that can affect the quality of patient care.
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