'This Should Be a National Scandal': For-Profit Medicare Advantage Plans Using AI for Denials

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'They're using AI to predict when to cut off payment for treatments,' said one watchdog group. 'We repeat, AI. Not a doctor.'

As Medicare Advantage plans rely increasingly upon artificial intelligence to determine—and often deny—payment for patient care, a group of Democratic U.S. lawmakers on Friday urged Medicare's top official to strengthen oversight of AI and algorithmic tools used to make coverage determinations.

Bush 'as a way of routing hundreds of billions of taxpayer dollars into the pockets of for-profit insurance companies,' according to frequent Common Dreams opinion contributor Thom Hartmann. A report published last month by Physicians for a National Health Program revealed that MA plans are overcharging U.S. taxpayers by up to $140 billion per year, enough to completely eliminate Medicare Part B premiums or fully fund Medicare's prescription drug program.

 

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