knowledge -WSS

knowledge

author：entertainment 2025-10-02 00:52:12 - browse：2518

House Judiciary Chairman Jerrold Nadler (D-NY) listens as Rep. Judy Chu (D-CA) speaks during a news conference. — Reps. Jerry Nadler (D-N.Y.) and Judy Chu (D-Calif.) Joshua Roberts/Getty Images

House Democrats are raising concerns with the Biden administration that Medicare Advantage plans need better oversight, citing recent STAT investigations that found insurance companies are using artificial intelligence and algorithmic software to deny care even when people still need it.

On Friday, Rep. Judy Chu of California and Rep. Jerry Nadler of New York spearheaded a letter to the Centers for Medicare and Medicaid Services asking the agency to step up its oversight of Medicare Advantage insurers. Thirty other House Democrats also signed onto the letter.

STAT previously reported Medicare Advantage insurers are using proprietary algorithms and AI to initiate payment denials, but that technology does not fully account for someone’s particular care needs. As a result, many frail patients have been kicked out of nursing homes, faced the prospect of draining their savings, or slogged through a long appeals process to get care they and their clinical teams think they need.

Get unlimited access to award-winning journalism and exclusive events.

Subscribe Log In

Previous article： DIEP, the 'gold standard' of breast reconstruction, is under threat
Next article： HHS's proposed rule does nothing to address the climate crisis

WSS

AMAs digital advisors table RPM coding reform proposal, again

PBM executives asked to testify by House panel

Ebola vaccine can save some who are already sick, per new study

Is it ever OK for doctors to lie to their patients?

Juul documents reveal insider tactics on political lobbying

Amylyx and the next ALS drug test, plus a chat with CRISPR's CEO

entertainment

knowledge

explore

DIEP, the 'gold standard' of breast reconstruction, is under threat

AMAs digital advisors table RPM coding reform proposal, again

Wildfire smoke exposes gaps in outdoor worker protections

As health system earnings go up, health insurance stocks go down

Medicare proposal to cover medical devices draws a mixed reaction

Warren pushes Witty on UnitedHealth's control over physicians

Tori Bowie and the unacceptable rates of Black maternal death

Long Covid research funding gets a major boost from NIH

Medical records are filled with copy

Welsh Carson private equity firm escapes from FTC antitrust case

hotspot

Chemotherapy before breast cancer surgery might fuel metastasis

Readout Newsletter: Amylyx, Aurinia, and IQVIA

Resistance to opioid

Websites selling Wegovy, Zepbound ingredients targeted by FDA

Congress might make insulin pumps more accessible to the blind

Bernie Sanders gets little from pharma CEOs on drug prices

leisure time

hotspot

hotspot

Wikipedia