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Proposed AI Governance Framework: Risk-Mitigation Recommendations for Health Plans

Crowell & Moring LLP · · International · AI Governance

A proposed AI governance framework has been put forward offering risk-mitigation recommendations specifically tailored to health plans, addressing how insurers and managed care organizations should oversee AI systems in their operations.

Why this matters: Health plans make decisions that directly affect whether people get care, what gets approved, and what gets denied. When AI is involved in those decisions, the stakes are not abstract. Patients rarely know when an algorithm is involved, and they have almost no way to challenge it. A governance framework for health plans is only useful if it has teeth. Voluntary recommendations without real accountability leave the people most affected with no meaningful recourse when the system gets it wrong.

Who should care: AI governance · Lawyers · Administrators · General readers · Policy

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Who should care: AI governance · Lawyers · Administrators · General readers · Policy

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