Evidence map›Paper›PMID 41372617›Full record

ReviewNPJ digital medicine2025

The future of algorithmic nondiscrimination compliance in the affordable care act.

William G La Cava, I Glenn Cohen, Jaya Aysola

Abstract readReview
In one paragraph

Review in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

William G La CavaComputational Health Informatics Program, Boston Children's Hospital, Boston, MA, USA. william.lacava@childrens.harvard.edu.
I Glenn CohenHarvard Law School, Cambridge, Boston, MA, USA.
Jaya AysolaLeonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA.

Funding

Real-time Monitoring and Correction of Clinical Decision Support Systems using Artificial IntelligenceR01LM014300 · NLM · BOSTON CHILDREN'S HOSPITAL · PI William La Cava · 2024 to 2026
$2.1M
NIH HHS R01LM014300NLM NIH HHS R01 LM014300
6 · The paper itself

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.

Identifiers

PMID41372617
PMCPMC12804706

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.