Focus on Faculty: Professor Raza in npj Digital Medicine

Professor Sara Raza’s article in npj Digital Medicine, Medicare Advantage Becoming a Disadvantage with Use of Artificial Intelligence in Prior Authorization Review, examines how artificial intelligence (AI) is increasingly being used in Medicare Advantage prior authorization decisions and the impact AI-driven delays and denials can have on vulnerable populations, particularly older adults. The article also discusses legal challenges, including litigation over insurers’ use of allegedly wrongful denial practices and their implications for patients and providers. It also considers current legal and regulatory efforts to ensure the responsible use of AI in health care and proposes policy changes aimed at improving transparency, fairness, and accountability in AI-driven coverage decisions.