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CMS has clarified insurer's use of AI and algorithms in patient care.

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A CMS memo to MA plans sent last week said "An algorithm that determines coverage based on a larger data set instead of the individual patient's medical history, the physician's recommendations, or clinical notes would not be compliant" with federal regulations. Click here for the letter. However, this doesn't go far enough for some senators. Click here for the STAT News report.

 
 
 

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