Physicians press lawmakers to ban automatic downcoding and shorten clawback windows Doctors and other providers told the committee automated downcoding and long insurer clawback windows are forcing practices to spend hundreds of hours on appeals, threaten small‑practice viability and reduce access to care; witnesses urged a ban on algorithmic downcoding and a 12‑month limit on recoupments.

Doctors are rallying against automated insurance practices that cut their payments and threaten the survival of small practices—could this be the tipping point for change?

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#CT #InsuranceTransparency #CitizenPortal #HealthcareReform #ClinicalAccountability

Delaware committee releases bill to bar AI systems from using protected clinical titles The House Sunset Committee on Jan. 23 released House Bill 191 to clarify that nonhuman entities, including AI systems, may not hold professional health-care licenses or use protected titles; supporters said the measure protects patient safety while allowing AI as a support tool.

Delaware is taking a stand for patient safety by introducing a bill that prevents AI from holding medical titles or licenses, ensuring that care is always in human hands.

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#DE #AIIntegration #ClinicalAccountability #CitizenPortal #PatientSafety