Oz: CMS ‘loaded, ready to go’ with AI tools to monitor Medicare plans if they don’t voluntarily reform

Centers for Medicare and Medicaid Services Administrator Mehmet Oz said the Trump administration is offering Medicare Advantage insurers a limited window to voluntarily address concerns about rising costs, warning that federal regulators are now equipped with sophisticated artificial intelligence systems to track plan behavior and are prepared to act if industry-led reforms fall short, Inside Health Policy reported.

Speaking at a health policy conference in Washington on Oct. 6, Oz said CMS has been meeting with executives from the...