HIA Struggles To Get Traction On Using AI/ML To Prevent Medicare Fraud

The Health Innovation Alliance is struggling to find a sponsor for proposed legislation that would require CMS use new artificial/machine learning technology to bolster its efforts to prevent improper billing due to ongoing concerns that AI/ML is being improperly used to restrict legitimate health care services. HIA hopes to rebrand its effort to tout the fraud-fighting proposal as unrelated to the other concerns. The proposed bill would update CMS’ fraud prevention algorithms that were initially implemented in 2010 with today’s...