News & Analysis as of September 17, 2024

Section 1557

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The Patient Protection and Affordable Care Act (PPAC), also known as Obamacare, is a United States federal statute passed in March of 2010. The Act creates a nationwide insurance system and provides federal... more +

[Webinar] The Impact of AI on Health Care Providers and Payors - June 12th, 10:00 am - 11:00 am PST

Manatt, Phelps & Phillips, LLP on 5/14/2024

Artificial intelligence (AI) continues to proliferate throughout the health care industry. With each advance comes complex legal and policy questions. Join us for a live webinar to explore these questions—specifically...more

Artificial Intelligence Briefing: White House Issues AI Progress Report

Faegre Drinker Biddle & Reath LLP on 5/13/2024

Regulatory, Legislative and Litigation Developments - Federal Agencies and the White House Issue Six Month Update on AI Activities Outlined in President Biden’s Executive Order on AI. Since President Biden issued his...more

The Intersection of Artificial Intelligence and Utilization Review

Sheppard Mullin Richter & Hampton LLP on 5/9/2024

California is among a handful of states that seeks to regulate the use of artificial intelligence (“AI”) in connection with utilization review in the managed care space. SB 1120, sponsored by the California Medical...more

New Affordable Care Act Final Rule Prohibits Discriminatory Use of AI

Dinsmore & Shohl LLP on 5/9/2024

The Department for Health and Human Services Office for Civil Rights (“OCR”) recently issued a final rule under Section 1557 of the Affordable Care Act, which prohibits federally funded health programs from discriminating on...more

CMS Issues Guidance on Usage of AI in Making Coverage Determinations

McDermott Will & Emery on 4/26/2024

On February 6, 2024, the US Centers for Medicare & Medicaid Services (CMS) issued a letter to all Medicare Advantage (MA) organizations and Medicare-Medicaid plans. The letter covered frequently asked questions and answers...more

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