STAT+: Medicare Advantage insurers face new bipartisan scrutiny over AI and care denials

Article excerpt

Sens. Richard Blumenthal (D-Conn.) and Josh Hawley (R-Mo.) are calling on the nation’s largest Medicare Advantage insurers to provide internal records and detailed information on their use of artificial intelligence to block rehabilitative care. The lawmakers’ request, a moment of bipartisan scrutiny on a controversial federal health care program, comes just one month after a government investigation unearthed a continuing pattern of denials within Medicare Advantage. In letters provided to STAT, Blumenthal and Hawley told executives at UnitedHealth Group, Humana, and CVS Health that recent findings by the Office of the Inspector General for the Health and Human Services Department undercut their companies’ claims to have reduced barriers to crucial medical services. Continue to STAT+