Health insurance companies can’t use AI for Medicare

Health insurance - Medicare and AI

Newly released federal guidelines say that artificial intelligence can’t make all the choices. The Centers for Medicare and Medicaid Services (CMS) have released new guidance for health insurance companies to protect Medicare Advantage (MA) against bias from artificial intelligence (AI). The CMS is the federal agency overseeing Medicaid, Medicare and other programs CMS oversees the Children’s Health Insurance Program (CHIP), the Health Insurance Marketplace, Medicare and Medicaid. It recently issued a policy memo to insurers in which it banned them from using algorithmic systems or AI exclusively to decide on…

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Florida’s DeSantis wants to ‘supersede” ACA with new health care plan

Health care - Florida New Plan alternative to ACA

The state governor seeking Republican nomination for president didn’t provide replacement plan details. In a recent interview on NBC’s “Meet the Press”, Florida Governor Ron DeSantis described his intentions to unveil a health care proposal this week that would “supersede” the Affordable Care Act (ACA). No further details were given about the specifics about the plan or what would be done with the ACA. That said, DeSantis never specifically said that his intention was to repeal the Affordable Care Act. That said, the Republican nominee hopeful did explain that he…

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Errors caused many low-income kids to be dropped from Medicaid health insurance

Health insurance - Kids, family, medical

Over 2 million children lost their coverage this year, but experts say that often, it was due to errors. At least two million kids from low-income families lost their Medicaid health insurance coverage this year as the federal policy from the pandemic era came to a close. This, according to new research analyses conducted by the KFF and the Georgetown Center for Children and Families. It is likely that the figure is notably higher, according to experts, as the shift occurred very quickly. According to a New York Times report,…

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What to know about the 2024 health insurance open enrollment period

Health insurance - Open Enrollment 2024

There could be fewer choices available to consumers shopping in Healthcare.gov this year. The 2024 health insurance open enrollment period starts today for consumers across the country shopping for coverage on the federal- or state-run Affordable Care Act marketplaces. Though there are likely fewer choices available for next year, this was done on purpose. Consumers shopping for health insurance through HealthCare.gov might notice that there aren’t as many choices as they were used to seeing in previous years. This is not due to a mass exodus of insurers but is…

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Medicare Advantage health insurance plans don’t have many mental wellness services

Health insurance - Person seeing psychiatrist

A new study shows plan holders are struggling to find psychiatrists within their networks. New research findings are showing that people who are covered by private sector Medicare Advantage health insurance plans are struggling to find psychiatrists and other mental wellness services within their networks. As a result, people with private Medicare coverage might not be getting the care they require. Over half the counties studied by the researchers did not have a psychiatrist within a Medicare Advantage health insurance plan. That plan is the counterpart in the private sector…

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