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November 14, 2024
Artificial Intelligence in Health Insurance: The Use and Regulation of AI in Utilization Management
National Association of Insurance Commissioners and Wayne Turner
A new report by the consumer representatives on the National Association of Insurance Commissioners examines the increasing use of AI by health insurers to make key payment decisions for care recommended by a patient’s medical team. The report highlights the lack of regulatory and legislative guardrails for such uses…
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May 9, 2024
Questions and Answers on the 2024 Final Rule Addressing Nondiscrimination Protections under the ACA’s Section 1557
Mara Youdelman, Madeline Morcelle, Wayne Turner, and Jennifer Lav Issue Brief
The Biden Administration finalized updates to the regulations implementing Section 1557 of the Affordable Care Act. Section 1557 prohibits discrimination on the basis of race, color, national origin, age, disability, or any combination thereof. This issue brief provides background on Section 1557 and analyzes the 2024 final regulations issued…
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January 31, 2024
FTC Complaint: Request for Investigation into Deloitte’s Texas Medicaid Eligibility System
Sarah Grusin, Elizabeth Edwards, Jane Perkins, Emily Paul, Emma Weil, John Davisson, and Grant Fergusson Cases, Letter, Comments
In a formal complaint filed January 31, the National Health Law Program (NHeLP), the Electronic Privacy Information Center (EPIC), and Upturn urge the Federal Trade Commission (FTC) to investigate Deloitte due to inaccurate and unreliable Medicaid eligibility determinations resulting from the use of the company’s automated software in Texas. Complaint (January 31, 2024) Supplemental…
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January 31, 2024
Explainer: FTC Complaint Requests Investigation into Deloitte’s Texas Medicaid Eligibility System
Elizabeth Edwards, Sarah Grusin, and Cassandra LaRose Case Explainer, Fact Sheet, Issue Brief
Hundreds of thousands of Texas Medicaid enrollees have been harmed by wrongful terminations and other errors in the state’s automated eligibility system developed by contractor Deloitte Consulting LLP (Deloitte), a new complaint to the Federal Trade Commission (FTC) alleges. The complaint filed by the National Health Law Program (NHeLP),…
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December 5, 2023
NHeLP Comments on OMB Draft Artificial Intelligence Memorandum
Cassandra LaRose and Elizabeth Edwards Comments
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November 15, 2023
Comments on Section 504 Proposed Rules: Discrimination on the Basis of Disability in Health and Human Services
Jennifer Lav, Dania Douglas, Elizabeth Edwards, Charly Gilfoil, David Machledt, Madeline Morcelle, Carly Myers, Michelle Yiu, and Daniel Young Comments
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Artificial Intelligence in Health Insurance: The Use and Regulation of AI in Utilization Management

Questions and Answers on the 2024 Final Rule Addressing Nondiscrimination Protections under the ACA’s Section 1557

FTC Complaint: Request for Investigation into Deloitte’s Texas Medicaid Eligibility System

Explainer: FTC Complaint Requests Investigation into Deloitte’s Texas Medicaid Eligibility System

NHeLP Comments on OMB Draft Artificial Intelligence Memorandum

Comments on Section 504 Proposed Rules: Discrimination on the Basis of Disability in Health and Human Services