Under the new law, any denial, delay or modification of care based on medical necessity must be reviewed and decided by a licensed physician or qualified healthcare provider with expertise in the specific clinical issues at hand, according to a Dec. 9 news release from California Sen. Josh Becker, the bill’s sponsor.
“Artificial intelligence has immense potential to enhance healthcare delivery, but it should never replace the expertise and judgment of physicians,” Mr. Becker said in the release. “An algorithm cannot fully understand a patient’s unique medical history or needs, and its misuse can lead to devastating consequences.”
At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.