{"id":22823,"date":"2024-11-19T19:56:21","date_gmt":"2024-11-19T19:56:21","guid":{"rendered":"https:\/\/www.varshabi.com\/HCIM2\/?p=22823"},"modified":"2024-11-07T16:53:59","modified_gmt":"2024-11-07T16:53:59","slug":"trust-in-technology-senate-report-scrutinizes-medicare-advantage-plans","status":"publish","type":"post","link":"https:\/\/www.varshabi.com\/HCIM2\/trust-in-technology-senate-report-scrutinizes-medicare-advantage-plans\/","title":{"rendered":"Trust in Technology: Senate Report Scrutinizes Medicare Advantage Plans"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"22823\" class=\"elementor elementor-22823\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a00fbf9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a00fbf9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-953a2e3\" data-id=\"953a2e3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1950cd9 elementor-widget elementor-widget-text-editor\" data-id=\"1950cd9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Technological advancements have the potential to transform healthcare, offering tools for better management and efficiency. However, a recent Senate report presents a critical view of how leading Medicare Advantage insurers like UnitedHealthcare, Humana, and CVS are deploying such technologies. The report uncovers how these insurers have increased their use of algorithmic tools, leading to a surge in denied claims for crucial post-acute care between 2019 and 2022.<\/p><p>Particularly alarming is the usage of tools like UnitedHealth&#8217;s nH Predict, which has been associated with a sharp rise in denial rates for post-acute service, from 8.7% to a worrying 22.7% in just four years. CVS and Humana have also seen similar upticks in denial rates following the deployment of algorithmic decision-making tools. While initially intended to streamline operations and reduce unnecessary spending, the report suggests that the tool may prioritize cost savings over patient needs, casting doubts on the trustworthiness of such technologies.<\/p><p>The Senate&#8217;s recommendations for targeted audits and expanded regulations come at a critical moment. They emphasize the urgent need for a robust framework that ensures AI tools in healthcare meet not only technological standards but ethical ones as well. Such a framework would protect against the misuse of AI, ensuring it serves as an enhancement to patient care, rather than an obstacle.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-770813c elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-id=\"770813c\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInLeft&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-669bd19\" data-id=\"669bd19\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-134bbff elementor-widget elementor-widget-text-editor\" data-id=\"134bbff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Ultimately, the goal is to harness technology in a way that supports medical professionals and safeguards patient interests. By establishing a benchmark for responsible and ethical AI use in healthcare, we ensure that technological advancements contribute positively to medical outcomes and uphold the highest standards of care.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-04a8c27 elementor-widget elementor-widget-spacer\" data-id=\"04a8c27\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e045acd elementor-widget elementor-widget-spacer\" data-id=\"e045acd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Technological advancements have the potential to transform healthcare, offering tools for better management and efficiency. However, a recent Senate report presents a critical view of how leading Medicare Advantage insurers like UnitedHealthcare, Humana, and CVS are deploying such technologies. The report uncovers how these insurers have increased their use of algorithmic tools, leading to a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":22838,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,14],"tags":[57,117,116,30],"class_list":["post-22823","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthcare-information-management","category-symkey","tag-hcim","tag-medicare-advantage-plans","tag-senate-report","tag-symkey"],"_links":{"self":[{"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/posts\/22823","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/comments?post=22823"}],"version-history":[{"count":10,"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/posts\/22823\/revisions"}],"predecessor-version":[{"id":22842,"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/posts\/22823\/revisions\/22842"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/media\/22838"}],"wp:attachment":[{"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/media?parent=22823"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/categories?post=22823"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/tags?post=22823"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}