AI and Algorithms Meet Medicare Advantage: Identifying and Managing Risks to Gain Benefits

Kevin Feder
Partner
O’Melveny & Myers LLP

Kathy Roe
Attorney & Co-Founder
Health Law Consultancy
- Summarizing the promise and power of AI and algorithms for MAOs
- Examining Congressional concerns with AI and algorithm use by MAOs and their FDRs
- Reviewing litigant complaints about AI and algorithm use by or on behalf of MAOs and other payers
- Exploring Federal agency considerations for AI and algorithm use by MAOs and their FDRs
- Extracting insight from NAIC action on AI and algorithm use by insurance issuers
- Managing compliance risks from evolving AI and algorithm use by MAOs and their FDRs