How Health Insurers Are Lobbying to Shape AI Regulation

Episode 49 of Services Economy explores the quiet but powerful lobbying campaign health insurers are waging to shape how artificial intelligence is regulated in healthcare. Lucas and Luna dig into the numbers: over $50 million spent on federal AI lobbying since 2023, with insurers arguing for 'flexible' rules that preserve their use of proprietary algorithms for prior authorization, claims denial, and premium pricing. They examine a specific case: the proposed Algorithmic Accountability Act and how insurer-funded trade groups like AHIP have pushed alternative language that exempts 'clinical decision support' tools from independent auditing. Luna questions whether this is about innovation or regulatory capture, and Lucas explains why the fight is happening now — as CMS considers new rules on AI use in Medicare Advantage. The conversation also touches on recent state-level battles in California and New York, where insurer-backed model bills are pre-empting stronger consumer protections. A concrete look at a policy war most patients don't know is happening. #HealthInsurers #AIPolicy #Lobbying #AlgorithmicAccountability #HealthcareRegulation #PriorAuthorization #MedicareAdvantage #AHIP #CMS #StateLegislation #California #NewYork #ArtificialIntelligence #InsuranceClaims #Economics #ServicesEconomy #FexingoBusiness #BusinessPodcast Keep every episode free: buymeacoffee.com/fexingo