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Wednesday, Nov 22 2023

Full Issue

Turbulent Moment In AI Industry Comes Amid Concerns Over Health Use

The tension between lawmakers suggesting cautious approaches and regulation, and AI entrepreneurs who want to expand the use of AI in health care came under the spotlight this week as a leading AI name — OpenAI, behind ChatGPT — fell into leadership turmoil. Lawsuits against UnitedHealth and Cigna concerning AI are also in the news.

Entrepreneurs across the country desperate to bring the power of AI into health care are urging Washington to consider the risk of blocking innovation, bringing into focus a chasm between the startup world’s race toward deployment and regulators’ attempts to protect patients from harmful, biased algorithms. (Ravindranath, 11/22)

The leadership turmoil within OpenAI, the maker of ChatGPT, is triggering calls for stepped-up efforts to establish standards for how generative AI is used across the health care industry, where experts worry that one or two companies could end up with too much control. (Ross, 11/21)

On claim denials by AI —

The alleged use of artificial intelligence for prior authorization and claim denials has led to lawsuits against two major health insurance companies. UnitedHealth Group and Cigna have been separately accused of allegedly using automated tools to deny some claims, which plaintiffs say reduces the insurers' labor costs. Both policymakers and physician leaders are asking insurance companies to open up their AI playbooks in response to these allegations. (Berryman and Turner, 11/21)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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