Ravi B. Parikh, MD, MPP
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The federal government pays private Medicare Advantage (MA) health plans based on a risk adjustment methodology, Hierarchical Condition Categories (HCC scoring), that relies on diagnosis codes and sociodemographic factors to predict expected costs of caring for each individual enrollee relative to the cost of the average Medicare beneficiary. With higher scores linked with higher payments, this approach has created perverse incentives among providers and payers, leading to significant overspending of taxpay
AI's role in our daily lives continues to become more omnipresent and healthcare is no exception. As AI becomes more routinely incorporated in healthcare, a central question becomes – how do we regulate it?
Ravi B. Parikh, MD, MPP