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Market Intelligence Resource | February 27, 2024

Congress Letter To CMS Regarding Oversight Of AI Tools Used For MA Improvements

On November 3, 2023, the U.S. Congress published this letter to the Centers for Medicare & Medicaid Services (CMS) regarding oversight of artificial intelligence (AI) tools used for Medicare Advantage (MA) improvements. Congress is concerned that the new rule might not adequately address MA plans’ increased reliance on AI or algorithmic software to guide their coverage decisions. Congress therefore urges CMS to increase oversight of these tools used by MA plans . . .

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