According to a recent report by the medical journal Stat, insurance companies have been using algorithmic tools — rather than doctors or other medically trained people — to determine whether patients who are enrolled in their Medicare Advantage programs are worthy of care.
the Center for Medicare Advocacy issued a special report that stated, “Although most AI-powered decision-making tools claim to offer only recommendations that are not intended to substitute for clinical or medical judgment or for Medicare law, in the Center’s experience, users often implement the tools’ recommendations without any critical examination of their impact on patients.”
— Read on www.theverge.com/23664533/medicare-advantage-healthcare-algorithm