nursing home care
Software Can Determine Which Care Your Medicare Advantage Plan Covers
Medicare Advantage plans increasingly are using artificial intelligence and related tools to determine which care is approved for coverage. Algorithms and artificial intelligence determine care in many plans and are driving denials of coverage to new highs, according to a study by STAT. The case for using AI is that the tools can process more data than a human can. That allows care to be personalized and delivers better outcomes at lower cost. The case against AI is that it uses historic and average data to make recommendations.