With Proper Use, Artificial Intelligence Improves Health Plan Operations

In the realm of healthcare operations, proper utilization of artificial intelligence (AI) holds promise for streamlining processes and reducing costs, but also poses challenges and potential risks. Lindsey Fetzer, an attorney at Bass, Berry & Sims, emphasized the inevitability of AI adoption in healthcare, yet underscored the evolving regulatory landscape surrounding its use. While AI offers benefits such as enhanced customer service and administrative efficiency in Medicare Advantage plans, concerns persist regarding accuracy and ethical implications. Fetzer advocated for increased transparency and cautious deployment of AI tools to mitigate negative impacts on patient care and trust. Regulatory oversight and comprehensive understanding of AI capabilities are essential for responsible implementation in health plan operations.