States try to rein in health insurers' claim denials, with mixed results
Briefly

The article discusses the growing scrutiny on health insurance companies accused of relying on AI to deny patient care without human review. The issue has intensified following the death of UnitedHealthcare CEO Brian Thompson, drawing attention to the prior authorization process, which requires insurer approval for medical procedures. Legislative measures are being proposed in multiple states aimed at regulating this process, addressing concerns that AI-driven decisions can lead to harmful delays in necessary care. A survey by the American Medical Association highlights the dangerous impact of these practices, revealing that many physicians report serious consequences for patients due to delays in care approval.
Health insurance companies are increasingly criticized for using AI to deny patient care without human review, raising concerns about patient safety and care access.
Prior authorization, a process requiring insurer approval for certain medical procedures, has faced backlash, with many claiming it results in harmful delays and denies necessary treatments.
Read at stateline.org
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