The Centers for Medicare and Medicaid Services sent a memo to all Medicare Advantage carriers recently, clarifying that MA insurers are not allowed to use algorithms or artificial intelligence-powered tools as basis for denying care or coverage.
The insurance industry is already expert in assessing risk, and that makes the industry well positioned to use generative artificial intelligence such as ChatGPT.
State regulators released a draft bulletin on artificial intelligence usage by insurers and it is not popular with lobbyists on either side of the issue.