Democrats push government to police algorithms in Medicare Advantage

Democrats, citing recent STAT investigations, want Biden to step up efforts to monitor AI and algorithms used by Medicare Advantage plans.

November 3, 2023 Check out STAT+

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Joshua Roberts/Getty Images STAT+ | Democrats push government to police algorithms in Medicare Advantage House Democrats are concerned the Biden administration isn't doing enough to monitor AI and algorithms used by Medicare Advantage plans. By Bob Herman Latest data shows millions of eligible Americans have been disenrolled from Medicaid As of Nov. 1, 10 million Americans lost Medicaid enrollment, 74% of whom lost coverage for procedural reasons, according to a new analysis. By Annalisa Merelli STAT+ | Medicare moves ahead with more price transparency requirements for hospitals The government will force hospitals to be better about publishing the prices they charge health insurers and patients. By Bob Herman Photo illustration: Casey Shenery for STAT A brain injury turns a writer into an 'activated patient' focused on the beauty of the now After being told a brain cyst was unlikely to grow quickly, a woman learns the hard way to trust her instincts. By Isabella Cueto Opinion: State Prescription Drug Affordability Boards could end up limiting access to the life-saving cystic fibrosis medication Trikafta Access to Trikafta is now at risk for several hundred people with cystic fibrosis, thanks to what some might consider to be good intentions. By Gunnar Esiason STAT+ | Health plan formularies lowered barriers to fair access to some drugs, analysis finds But only 62% of the formularies scored well on a fourth criteria: cost sharing, which is the portion of expenses paid by insured individuals. By Ed Silverman

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