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    Advocates protest Medicare Advantage

    Project 2025's Plan to Kill Medicare Via Default Enrollments in For-Profit Alternative

    "If implemented, Project 2025 would lead to a multibillion-dollar annual giveaway to corporations at the expense of Medicare enrollees and taxpayers," warns a new Center for American Progress report.

    Brett Wilkins
    Aug 15, 2024

    Project 2025—the far-right initiative to expand U.S. presidential power and purge the federal civil service—poses a dire threat to the government-run healthcare coverage enjoyed by tens of millions of senior citizens by making private, for-profit Medicare Advantage plans the default option for all Medicare enrollees, a report published Thursday warned.

    The Center for American Progress (CAP) report said the goal of the Heritage Foundation and other right-wing groups behind Project 2025 involves "pushing the United States toward a future of fully privatized Medicare."

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    News
    project 2025
    Advocates hold signs during a news conference on Medicare Advantage plans

    Alarms Raised Over For-Profit Medicare Advantage Using AI to Deny Care to Seniors

    "Insurers using AI to deny needed care to seniors and people with disabilities means sacrificing patient needs on the altar of corporate greed," said one campaigner.

    Brett Wilkins
    Jun 25, 2024

    Dozens of Democratic U.S. lawmakers joined consumer and patient advocates on Tuesday in sounding the alarm over the use of artificial intelligence by companies providing Medicare Advantage plans to deny healthcare to their senior customers.

    Fifty-one Democratic members of Congress and Independent Sen. Bernie Sanders of Vermont wrote to Centers for Medicare and Medicaid Services (CMS) Administrator Chiquita Books LaSure on Tuesday expressing their concern over Medicare Advantage (MA) providers' increasing use of algorithmic systems to deny patient care.

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    healthcare
    A woman stands at a rally with a sign reading, "Medicare Advantage is for profit our lives should not be."

    'This Should Be a National Scandal': For-Profit Medicare Advantage Plans Using AI for Denials

    "They're using AI to predict when to cut off payment for treatments," said one watchdog group. "We repeat, AI. Not a doctor."

    Brett Wilkins
    Nov 03, 2023

    As Medicare Advantage plans rely increasingly upon artificial intelligence to determine—and often deny—payment for patient care, a group of Democratic U.S. lawmakers on Friday urged Medicare's top official to strengthen oversight of AI and algorithmic tools used to make coverage determinations.

    "In recent years, problems posed by prior authorization have been exacerbated by MA plans' increasing use of AI or algorithmic software to assist in their coverage determinations in certain care settings, including inpatient hospitals, skilled nursing facilities, and home health," 32 House Democrats led by Rep. Judy Chu (D-Calif.) wrote in a letter to Centers for Medicare & Medicaid Services (CMS) Administrator Chiquita Books LaSure.

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    medicare advantage

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