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Invited Session

The Opportunities and Challenges of AI-induced Prior Authorizations

Fri, Jan 15, 10:30 AM - 12:15 PM

Theresa KimOrganizerMarika CusickChair

3 Abstracts

External Validity Challenges in Clinical Risk Prediction

Carter Nakamoto (Stanford University)

Co-authors: Sherri Rose (Stanford University School of Medicine)

Clinical risk prediction prior authorization external validity

Evaluating and Predicting Post-Acute Care Claim Denials in Medicare Advantage

Medicare Advantage Post-Acute Care Claim Denials Explainable AI Utilization Management

Prior Authorization, Risk Modeling, and AI

Arlene Ash (University of Massachusetts Medical School)

Discussant

Theresa Kim (National Institutes of Health)

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