Thursday , April 25 2024
Home / Tag Archives: algorithms

Tag Archives: algorithms

AI Algorithm allegedly leads to Medicare Advantage Denial of Claims

Industry has been talking about AI (Artificial Intelligence) for a while now. And of course, industry has been looking to reduce the amount of labor input with AI. Having used computerized systems such as MRPII, ERP, etc., I have always followed the wisdom of people such as Oliver Wight and George Plossl. The system is as accurate as the input to it. Which means, you have to check your work. A system can also be used to intentionally mislead in its...

Read More »

Medicare Advantage uses Algorithms to block care for Seniors

Kip Sullivan has been writing about the issues with Medicare Advantage. I have joined with Kip in bringing the issues of Medicare Advantage to the forefront. Angry Bear has featured Kip and I have added to the dialogue. This next commentary details how Healthcare Insurance, mostly Medicare Advantage has been using artificial intelligence in the form of an algorithm to limit treatment or deny coverage. STAT Investigation has been providing the detail...

Read More »

IPA’s weekly links

They spend the next 45 minutes arguing about Stata vs. R. (In honor of the new Jack Ryan season) Guest post by Jeff Mosenkis of Innovations for Poverty Action. Dave Evans offers a short PhD in Michael Kremer’s work, with quick summaries of 100+ of his papers. But being a Nobel-winning researcher is only one of his jobs. He’s founded, or been instrumental in, more than one non-profit, and in USAID DIV. As a friend told me this morning, most people who know him from just one facet of his life...

Read More »