Automated Decision-Making

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October 28, 2024
Unwinding Issues Show Medicaid Eligibility Systems Need Better Oversight to Ensure Coverage
Cassandra LaRose 2025, Automated Decision-Making, Uncategorized
The upcoming November election will have a significant impact on health care nationwide. Policy proposals championed by candidates at the federal and state levels could radically change health law and policy in ways that will reverberate in 2025 and beyond. In this new blog series, the experts at NHeLP will…
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May 1, 2024
1557 Final Rule Protects Against Bias in Health Care Algorithms
Cassandra LaRose and Elizabeth Edwards 1557, Automated Decision-Making, Eligibility & Enrollment, Uncategorized
The 2024 Final Rule implementing § 1557 of the Patient Protection and Affordable Care Act includes an important protection against the use of some algorithms in health care, or as the rule terms it “discriminatory patient care decision support tools.” HHS defined this term to be broad and inclusive,…
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May 16, 2023
NHeLP’s Automated Decision-Making Principles in Medicaid Continuous Coverage Unwinding
Cassandra LaRose Automated Decision-Making, Disability, Eligibility & Enrollment, Health Equity, Uncategorized
NHeLP’s Principles for Fairer, More Responsive Automated Decision-Making Systems outline how to realize the benefits of Automated Decision-Making Systems (ADS) while minimizing drawbacks. Many government agencies use ADS for Medicaid eligibility decisions. During the unwinding of the Medicaid continuous coverage period Medicaid eligibility ADS and related processes will be…
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July 14, 2021
Race-Based Prediction in Pregnancy Algorithm Is Damaging to Maternal Health
Liz McCaman Taylor Automated Decision-Making, Best of 2021 Blogs, Health Equity, SRH Health Equity, Uncategorized
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June 30, 2021
A Promise Unfulfilled: Automated Medicaid Eligibility Decisions
Sarah Grusin Automated Decision-Making, Delivery System Reform, Disability, Eligibility & Enrollment, Medicaid Awareness Month, Uncategorized
States have spent millions of dollars building Medicaid eligibility systems that promise automated, real-time, and accurate eligibility decisions. This is a worthy goal because unnecessary paperwork burdens cause eligible individuals to lose coverage for failure to complete forms. The promise of automated eligibility determinations, however, is often not realized…
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June 22, 2021
Limited Data Collection for LGBTQI+ Health Promotes Bias
Skyler Rosellini Automated Decision-Making, Uncategorized
SkyInclusive questions about sexual orientation, gender identity, and intersex individuals (SOGII) help identify and address the diverse health needs of LGBTQI+ populations and mitigate health disparities, especially when co-analyzed with race, disability, language, behaviors and other data. SOGII data collection also allows covered entities, such as social services agencies,…
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Automated Decision-Making

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Unwinding Issues Show Medicaid Eligibility Systems Need Better Oversight to Ensure Coverage

1557 Final Rule Protects Against Bias in Health Care Algorithms

NHeLP’s Automated Decision-Making Principles in Medicaid Continuous Coverage Unwinding

Race-Based Prediction in Pregnancy Algorithm Is Damaging to Maternal Health

A Promise Unfulfilled: Automated Medicaid Eligibility Decisions

Automated Decision-Making

Never miss a thing.

Subscribe today.

Unwinding Issues Show Medicaid Eligibility Systems Need Better Oversight to Ensure Coverage

1557 Final Rule Protects Against Bias in Health Care Algorithms

NHeLP’s Automated Decision-Making Principles in Medicaid Continuous Coverage Unwinding

Race-Based Prediction in Pregnancy Algorithm Is Damaging to Maternal Health

A Promise Unfulfilled: Automated Medicaid Eligibility Decisions

Limited Data Collection for LGBTQI+ Health Promotes Bias