Health lawyers, bioethicist call for tighter regulation of AI in prior authorizations
By
Josh Henreckson
Jul 15, 2024
Although artificial intelligence promises exciting efficiency benefits, its usage in insurance prior authorizations demands wider and more holistic oversight from state and federal bodies, a trio of experts...
Lawmakers say CMS should ban Medicare Advantage’s use of AI to deny care
By
Josh Henreckson
Jun 28, 2024
The Centers for Medicare & Medicaid Services should consider banning artificial intelligence from being used to deny Medicare Advantage coverage pending a “systematic review,” a group of 49 congressional...
DOJ hits telehealth firm for $4.6M in false claims settlement involving nursing homes
By
Josh Henreckson
Jun 14, 2024
A company that provides mental telehealth services to skilled nursing residents has agreed to pay the federal government $4.6 million to resolve false claims allegations.
Interoperability is key for fixing ‘biggest problems’ in long-term care: experts
By
Josh Henreckson
Jun 07, 2024
Increasing interoperability has the potential to help long-term care providers address some of their worst pain points, experts pointed out at a McKnight’s Online Forum session Tuesday.
MDS ‘alarm’ bells key to quality gains in heightened reporting environment: expert
By
Josh Henreckson
May 07, 2024
Patterns revealed by Minimum Data Set entries can help providers perform better on quality measures, if it is used to better understand and act on problem areas.