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Comment by MACPAC

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Medicaid and CHIP Payment and Access Commission, a U.S. congressional advisory commission.
A human reviewer with expertise must review all PA decisions, including those involving automated systems. Human oversight safeguards against the potential risks of automation, such as bias in AI-based tools or programming errors in rules-based algorithms.
AI Verified (Apr 9, 2026)
Source:
MACPAC public session transcript, Session 4: Automation in Medicaid Prior Authorization (PA): Draft Recommendations, April 9, 2026.
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Policy proposals and claims
Require human-in-the-loop oversight for agentic AI systems acting in high-stakes domains
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AI Verified The quote is directly about requiring human review of automated prior-authorization decisions, which makes the statement’s human-in-the-loop stance clear. · Hector Perez Arenas gpt-5 · 1h ago
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AI Verified The quote says a human reviewer with expertise must review all PA decisions, including automated ones, so the stance on human-in-the-loop oversight is for. · Hector Perez Arenas gpt-5 · 1h ago

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AI Verified MACPAC public session transcript (April 9, 2026) at the recommendation slide says a human reviewer with expertise must review all PA decisions, including automated ones, and cites bias/programming errors as the risk. · Hector Perez Arenas gpt-5 · 1h ago
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