Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Hospitals push for rule clarifying human review when insurers use AI in prior‑authorization denials
Summary
Hospital and insurer witnesses told the committee they agree adverse coverage denials must be made by licensed providers; hospitals asked the Legislature to clarify that an insurer‑side AI recommendation must be ‘‘meaningfully’’ reviewed by a clinician before denial.
Cheyenne — A bipartisan group of providers and insurers told the Labor, Health & Social Services Committee on June 24 that prior authorization denials must include clinician review and that proposed legislation should clarify how insurer use of artificial intelligence (AI) fits into existing law. “What we bring before you today is a small clarification to that law,” Josh Hannes of the Wyoming Hospital Association told the committee, asking the panel to add language that would require a licensed clinician to “meaningfully review” any insurer decision premised on an AI output before an adverse determination is issued. Hospitals raised several cases from other states in which employees alleged AI was being used to triage or drive denials; Hannes and others asked the Legislature to make a technical change to Wyoming Statute…
Already have an account? Log in
Subscribe to keep reading
Unlock the rest of this article — and every article on Citizen Portal.
- Unlimited articles
- AI-powered breakdowns of topics, speakers, decisions, and budgets
- Instant alerts when your location has a new meeting
- Follow topics and more locations
- 1,000 AI Insights / month, plus AI Chat
