Work

The future of algorithmic nondiscrimination compliance in the affordable care act

Year: 2025

Type: article

Abstract: A new Section 1557 rule bans discrimination by AI-based clinical decision tools, with compliance required by May 2025. This paper explores challenges in identifying and mitigating algorithmic bias, especially where outcome disparities exist. We emphasize the need to audit high-risk tools, address proxy discrimination, and provide standardized guidance. Political uncertainty around enforcement complicates long-term planning, making expanded regulatory support essential for health systems and developers alike.

Source: npj Digital Medicine

DOI: 10.1038/s41746-025-02224-7

Authors: William G. La Cava, I. Glenn Cohen, Jaya Aysola

Institutions: Boston Children's Hospital, Harvard University, University of Pennsylvania Health System, Leonard Davis Institute of Health Economics, University of Pennsylvania

Language: English

Topic: Ethics and Social Impacts of AI

Subfield: Safety Research

Field: Social Sciences

Domain: Social Sciences

SDGs: Reduced inequalities, Peace, justice, and strong institutions, Good health and well-being

Open Access status: gold

Estimated APC paid: $4,090