AI Under Scrutiny: Insurers Banned from Using Algorithms to Deny Care for Elderly Medicare Patients
The City and State’s Centers for Medicare & Medicaid Services (CMS) has issued a memo clarifying that health insurance companies are prohibited from using algorithms or artificial intelligence to make coverage decisions on Medicare Advantage plans. This clarification comes in the wake of lawsuits filed by patients claiming that UnitedHealth and Humana have been utilizing a flawed AI-powered tool to deny care to elderly patients on MA plans. The lawsuits allege that the AI tool, …