aceArtificial Intelligence in Health Insurance: An Interagency Framework for Federal and State Oversight
Despite mounting enthusiasm regarding the introduction of artificial intelligence (AI) software as a medical device (SaMD) to clinical care and, consequently, the development of a new regulatory proposal for the federal oversight of AI/machine learning medical devices, little attention has been paid to the oversight of AI tools used by large insurers. The US Food and Drug Administration (FDA) has advanced an "Action Plan" for clinical AI governance. However, the unregulated application of insurance AI still thre…
AI tools used by large insurers, illustrated by Medicare Advantage prior authorization, are largely unregulated, and the author argues this threatens US healthcare delivery.
The source is a proposed framework presented through a single illustrative case, and the abstract reports no measured outcomes of insurer AI use or of the framework itself.
Evidence
- Peer-reviewedJournal of Law, Medicine & Ethics2026-10-15
How should this claim be treated?
Truvace Impact Record TRV-2026-1987, v1: “Artificial Intelligence in Health Insurance: An Interagency Framework for Federal and State Oversight.” Truvace, 2026-10-20. /record/TRV-2026-1987 (accessed at citation time). sha256 3970634794926441…
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