Major health insurers and Medicare are increasingly deploying artificial intelligence to determine what treatments they will cover. This shift is sparking significant legal and ethical challenges. Class action lawsuits have already accused insurers of using the technology to wrongfully deny care to patients.
Artificial intelligence promises efficiency for insurers managing vast numbers of prior authorization requests. However, the opaque nature of these algorithmic decisions creates a new layer of complexity in patient care. The technology's role in critical health coverage determinations is now a focal point for scrutiny.