Obama-era tech advisors list potential challenges for the White House’s AI principles

venture beat | January 12, 2020

Former Obama administration advisors say the White House regulatory AI principles announced this week are a good start in many ways, but they’re incorrect in their oversimplified mandate to avoid overregulation of private business use, and that the Trump administration could face an uphill battle in its appeal to the rest of the world. Though the Trump administration has developed a reputation for blaming the Obama administration when things go wrong or trying to erase Obama-era policy, on artificial intelligence policy, at times the Trump administration has remained strikingly similar to its predecessor. This was evident in the AI research and development strategy plan for federal agencies released in summer 2019. In some instances, like with White House deputy CTO and assistant director of AI at the White House Office of Science and Technology Policy (OSTP)  Dr. Lynne Parker who also served in the Obama administration, the same people drive White House AI policy.

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The Centers for Medicare & Medicaid Services (CMS) is an Operating Division within the Department of Health and Human Services (DHHS). The creation of CMS (previously the Health Care Financing Administration) in 1977 brought together, under unified leadership,
the two largest Federal health care programs—Medicare and Medicaid. In 1997, the Children’s Health Insurance Program (CHIP) was established to address the health care needs of uninsured children.Over the past decade, legislation has significantly expanded CMS’ responsibilities. In 2003,the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) added a prescription drug benefit. In 2005, the Deficit Reduction Act (DRA) created a Medicaid Integrity Program to address fraud and abuse in the Medicaid program. The Tax Relief and Health Care Act of 2006 (TRHCA) established a physician quality reporting program, quality
improvement initiatives and enhanced CMS’ program integrity efforts through the expansion
of the Recovery Audit Contractor (RAC) program. The Medicare, Medicaid, and State Children’s Health Insurance Program Extension Act of 2007 (MMSEA) continued physician quality reporting and extended the CHIP, Transitional Medical Assistance (TMA), and other
programs. The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) extended and expanded the physician quality reporting program and established an electronic prescribing incentive program. It also established a value-based purchasing for end-stage renal disease services. The Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) improved outreach, enrollment, and access to
benefits within the Medicaid and CHIP programs, and mandated development of child health quality measures and reporting for children enrolled in Medicaid and CHIP. The American Recovery and Reinvestment Act of 2009 (ARRA or “Recovery Act”) provided investments for technological advances, including health information technology and the use of electronic health records, along with prevention and wellness activities. In March
2010, the President signed into law the Affordable Care Act (ACA). The legislation contains numerous provisions which impact CMS’ traditional role as the overseer of Medicare, Medicaid, and CHIP including: a major expansion of the Medicaid program; a two-year
extension of CHIP; the establishment of a new Federal Coordinated Health Care Office in CMS to improve care for beneficiaries who are eligible for both Medicare and Medicaid; the gradual elimination of the Medicare prescription drug coverage gap; payment reform;
quality improvement incentives; and the creation of a CMS Innovation Center to explore different care delivery and payment models in Medicare, Medicaid, and CHIP.

Spotlight

The Centers for Medicare & Medicaid Services (CMS) is an Operating Division within the Department of Health and Human Services (DHHS). The creation of CMS (previously the Health Care Financing Administration) in 1977 brought together, under unified leadership,
the two largest Federal health care programs—Medicare and Medicaid. In 1997, the Children’s Health Insurance Program (CHIP) was established to address the health care needs of uninsured children.Over the past decade, legislation has significantly expanded CMS’ responsibilities. In 2003,the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) added a prescription drug benefit. In 2005, the Deficit Reduction Act (DRA) created a Medicaid Integrity Program to address fraud and abuse in the Medicaid program. The Tax Relief and Health Care Act of 2006 (TRHCA) established a physician quality reporting program, quality
improvement initiatives and enhanced CMS’ program integrity efforts through the expansion
of the Recovery Audit Contractor (RAC) program. The Medicare, Medicaid, and State Children’s Health Insurance Program Extension Act of 2007 (MMSEA) continued physician quality reporting and extended the CHIP, Transitional Medical Assistance (TMA), and other
programs. The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) extended and expanded the physician quality reporting program and established an electronic prescribing incentive program. It also established a value-based purchasing for end-stage renal disease services. The Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) improved outreach, enrollment, and access to
benefits within the Medicaid and CHIP programs, and mandated development of child health quality measures and reporting for children enrolled in Medicaid and CHIP. The American Recovery and Reinvestment Act of 2009 (ARRA or “Recovery Act”) provided investments for technological advances, including health information technology and the use of electronic health records, along with prevention and wellness activities. In March
2010, the President signed into law the Affordable Care Act (ACA). The legislation contains numerous provisions which impact CMS’ traditional role as the overseer of Medicare, Medicaid, and CHIP including: a major expansion of the Medicaid program; a two-year
extension of CHIP; the establishment of a new Federal Coordinated Health Care Office in CMS to improve care for beneficiaries who are eligible for both Medicare and Medicaid; the gradual elimination of the Medicare prescription drug coverage gap; payment reform;
quality improvement incentives; and the creation of a CMS Innovation Center to explore different care delivery and payment models in Medicare, Medicaid, and CHIP.

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