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Ars Technica

AI cannot be used to deny health care coverage, feds clarify to insurers

Ars Technica
Summary
Nutrition label

86% Informative

The Centers for Medicare & Medicaid Services has clarified Medicare Advantage insurers' use of AI tools.

The guidance comes just months after lawsuits claim insurers are using a flawed AI-powered tool to deny care to elderly patients.

The lawsuits center on the same AI tool, called nH Predict, used by both insurers and developed by a UnitedHealth subsidiary.

An "algorithm or software tool should only be used to ensure fidelity," the CMS wrote.

VR Score

88

Informative language

90

Neutral language

49

Article tone

formal

Language

English

Language complexity

77

Offensive language

not offensive

Hate speech

not hateful

Attention-grabbing headline

not detected

Known propaganda techniques

not detected

Time-value

short-lived

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