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Chair asks how HHS can use AI to stop improper payments; Ms. Clark cites California hospice case
Summary
In a brief hearing exchange, the chair asked whether HHS is using AI to detect fraud and stop payments before they go out. Ms. Clark, citing California experience with health plans, described a hospice example where claims data and beneficiary outreach stopped a likely improper payment.
The chair asked Ms. Clark to explain how the Department of Health and Human Services can use artificial intelligence to detect fraud and prevent payments to bad actors before funds are released. He referenced Secretary Kennedy’s recent statement that HHS is deploying AI and intends to move away from a ‘‘pay-and-chase’’ model.
Ms. Clark said she had no direct…
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