Author Archives
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Government’s Appeal is Dismissed in Case concerning the Use of Online Tracking Technologies by Health Care Providers
On September 4, 2024, the U.S. Court of Appeals for the Fifth Circuit dismissed the federal government’s appeal in the case brought by the American Hospital Association (AHA) concerning the use of third-party online tracking technologies by health care providers… Read More ›
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HHS Finalizes Rule Regarding Disincentives for Information Blocking in Healthcare
The U.S. Department of Health and Human Services (HHS) has finalized a rule establishing disincentives for certain health care providers determined to have engaged in information blocking. Effective as of July 31, 2024, the rule implements provisions of the 21st… Read More ›
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Cigna Seeks Dismissal of Lawsuit Over Automated Claims Denial System
On August 23, 2024, The Cigna Group and Cigna Health and Life Insurance Company (“Cigna”) filed a motion to dismiss a lawsuit alleging the denial of coverage resulting from its use of an automated system. More specifically, the lawsuit, filed… Read More ›
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CHAI Releases Version 0.3 of its Draft Guidance for Ethical AI in Healthcare
On June 26, 2024, the Coalition for Health AI (“CHAI”) released draft v0.3 of their Assurance Standards Guide (“Guide”), which is meant to serve as a “playbook for the development and deployment of AI in healthcare.” It seeks to do… Read More ›
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Humana Seeks Dismissal of Medicare Advantage Lawsuit Alleging AI Misuse in Coverage Decisions
On June 6, 2024, Humana Inc. (“Humana”), filed a motion to dismiss the Plaintiffs claims in the matter alleging the misuse of an AI model in post-acute care determinations under Medicare Advantage brought in the U.S. District Court for the… Read More ›
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UnitedHealth Group Seeks Dismissal of Medicare Advantage Lawsuit Over AI Coverage Denials
On May 20, 2024, UnitedHealth Group, Inc. (UHG), and its Co-Defendant subsidiaries filed a motion to dismiss the Plaintiffs’ Amended Complaint in the federal case alleging denial of post-acute care under Medicare Advantage due to decisions made by an AI… Read More ›
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Cybersecurity and HIPAA: NIST’s 2024 Resource Guide for Regulated Entities
In February 2024, the final version of a resource guide concerning cybersecurity and the implementation of the HIPAA Security Rule was published by the National Institute of Standards and Technology (NIST) of the U.S. Department of Commerce. It provides… Read More ›
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Amended Complaint Alleges Humana’s Use of AI Model Violates Laws, Harms Elderly Patients
On April 22, 2024, Plaintiffs who had filed a lawsuit against Humana, Inc. (Humana) alleging denial of post-acute care coverage by the “illegal and undisclosed deployment of artificial intelligence (AI) in place of real doctors” under Medicare Advantage plans, filed… Read More ›
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HHS releases Cybersecurity Performance Goals for the Healthcare and Public Health Sector
The U.S. Department of Health and Human Services (HHS) recently published Healthcare and Public Health Sector (HPH) Cybersecurity Performance Goals (CPGs) in a document entitled, “Strengthening the Cybersecurity of the Healthcare Sector and Keeping Patients Safe and Secure.” These voluntary… Read More ›
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Amended Complaint filed in Federal case against UnitedHealth Group alleging denial of care due to decisions made by AI
On April 5, 2024, the enrollees in Medicare Advantage Plans that had filed a class action complaint against UnitedHealth Group, Inc., United Healthcare, Inc., and naviHealth, Inc., alleging denial of care due to coverage determinations made by artificial intelligence filed… Read More ›