Two senators have demanded that the three largest Medicare Advantage insurers turn over internal records showing exactly how they decide whether to pay for care after a hospital stay, including any use of algorithms or software to judge medical necessity.
The July 14 letters from Sen. Richard Blumenthal of Connecticut and Sen. Josh Hawley of Missouri went to UnitedHealthcare, Humana and CVS Health, and covered decisions on skilled nursing facilities, inpatient rehabilitation facilities and long-term acute care hospitals dating back to January 2023. The insurers were given until July 28 to respond.
