Bipartisan lawmakers call for increased AI oversight in Medicare Advantage coverage decisions

A bipartisan group of 51 lawmakers in both the House and Senate is calling for increased oversight of artificial intelligence (AI) in Medicare Advantage (MA) coverage decisions.

In the letter addressed to Chiquita Brooks-LaSure, administrator of the Centers for Medicare and Medicaid Services (CMS), the group of lawmakers said that they are “concerned about MA plans’ use of prior authorization, specifically their ongoing use of artificial intelligence (AI) and algorithmic software to...