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Feds Rein in Predictive Software That Limits Care for Medicare Advantage Patients

Feds rein in predictive software that limits care for Medicare Advantage patients

Software sifts through millions of medical records to match patients with similar diagnoses and characteristics and predicts what kind of care an individual will need. New rules will ensure humans are part of the process.

Feds rein in predictive software that limits care for Medicare Advantage patients

Feds rein in predictive software that limits care for Medicare Advantage patients
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Feds Rein In Use of Predictive Software That Limits Care for Medicare Advantage Patients

Software sifts through millions of medical records to match patients with similar diagnoses and characteristics and then predicts what kind of care an individual will need and for how long. New federal rules will ensure human experts are part of the process.

Feds rein in use of predictive software that limits care for Medicare Advantage patients

Judith Sullivan was recovering from major surgery at a Connecticut nursing home in March when she got surprising news from her Medicare Advantage plan: It would no longer pay for her care because she was well enough to go home.

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