With Proper Use, Artificial Intelligence Improves Health Plan Operations

With Proper Use, Artificial Intelligence Improves Health Plan Operations

In the realm of healthcare operations, proper utilization of artificial intelligence (AI) holds promise for streamlining processes and reducing costs, but also poses challenges and potential risks. Lindsey Fetzer, an attorney at Bass, Berry & Sims, emphasized the inevitability of AI adoption in healthcare, yet underscored the evolving regulatory landscape surrounding its use. While AI offers benefits such as enhanced customer service and administrative efficiency in Medicare Advantage plans, concerns persist regarding accuracy and ethical implications. Fetzer advocated for increased transparency and cautious deployment of AI tools to mitigate negative impacts on patient care and trust. Regulatory oversight and comprehensive understanding of AI capabilities are essential for responsible implementation in health plan operations.

Medigy Insights

In healthcare operations, artificial intelligence (AI) offers both promise and challenges. Lindsey Fetzer, an attorney at Bass, Berry & Sims, highlights the inevitability of AI adoption, urging caution amidst evolving regulatory landscapes. While AI enhances administrative efficiency in Medicare Advantage plans, concerns linger regarding accuracy and ethical implications. Fetzer emphasizes the need for transparency and cautious deployment to mitigate negative impacts on patient care and trust. Regulatory oversight and comprehensive understanding of AI capabilities are pivotal for responsible implementation in health plan operations, ensuring AI's potential benefits are realized while minimizing risks.


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