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The Intersection of Artificial Intelligence and Utilization Review
Sheppard Mullin 
[Guidance Overview] May 9, 2024 "[California SB 1120] would require algorithms, AI and other software tools used for utilization review to comply with specified requirements.... SB 1120 largely aligns with requirements applicable to Medicare Advantage plans ... Georgia's House Bill 887 would prohibit payors from making coverage determinations solely based on results from the use or application of AI tools.... New York, Oklahoma and Pennsylvania have bills ... requiring payors to disclose to providers and enrollees if they use or do not use AI in connection with utilization review." MORE >> |
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