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New California law prohibits using AI as basis to deny health insurance claims
(www.mercurynews.com)
I wish the other states could have nice things too
this post was submitted on 06 Jan 2025
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That's kinda the good thing about it. If one state, like CA, can make it cost-prohibitive to do two different ways, then if they want to keep their business in CA, they have to play by the same rules everywhere.
In most markets. Insurance is essentially state-by-state though.
No, it is not. Not all countries are stupid enough to have so many systems for the same thing. Or be stupid enough to have 3 bids for the provider of the same benefits highly used by many in 1 state (e.g. California’s C-IV, LRS & CalWIN).
I bet a work around is having the AI assess things, present recommendations, and then a human “makes the final call” by agreeing with the AI. Of course the human is free to make any decision. But you know how it will go.
The orphan crushing machine is prohibited from crushing orphans over the age of 7
Now do banks and all other companies too