Learning Objectives

• Resources to support healthcare organizations looking to procure an AI system for which they hope to seek reimbursement
• Overview of different payment models for AI that exist today
• Overview of the role of AMA CPT activities in advancing AI reimbursement
• Planned work by AMA to broaden access (through reimbursement) to AI technologies that are shown to be safe and effective

Video Recording

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Speakers

Samantha Ashley, MSc

Samantha Ashley is the Director of CPT Editorial and Regulatory Affairs in the American Medical Association’s Health Solutions business unit. Samantha’s role is multifaceted, encompassing setting strategic direction for the CPT Editorial Panel process, as well as overseeing the communication of healthcare policies, through identification and resolution of national payment and reporting problems.

She is also the Secretary of the CPT Editorial Panel, ensuring that the process remains open and transparent. In addition to her role with the CPT Editorial Panel, Samantha contributes her strategic insights to the AMA-convened Digital Medicine Payment Advisory Group (DMPAG) Notably, Samantha was lead staff for the DMPAG’s AI Workgroup, when they developed seminal work in describing AI medical services within the CPT code set.

Shannon Curtis, JD

Shannon Curtis is the Assistant Director of Federal Affairs at the American Medical Association. In this role, she manages AMA’s advocacy with numerous federal departments and agencies and plays a key role in the development of AMA policy on a wide range of healthcare issues. Her portfolio includes drug and device regulation and payment; public health, infectious disease and life science issues; reproductive health; and a number of issues that impact patient access and costs, such as drug pricing, healthcare price transparency, and competition. She has a significant focus on the regulation of digital health and AI-enabled technologies.

Prior to joining the AMA, Shannon was part of the advocacy staff at the American Academy of Ophthalmology and the Association of American Medical Colleges and was a legal fellow at the U.S House of Representatives. Shannon received her B.S. from the University of Colorado at Boulder and her J.D. from Southern Methodist University.

Supplemental Readings

• Developing current procedural terminology codes that describe the work performed by machines
• The industry impact of the American Medical Association’s Digital Medicine Payment Advisory Group (DMPAG)
• Principles for Augmented Intelligence Development, Deployment, and Use
• CPT Appendix S: AI taxonomy for medical services & procedures
• A reimbursement framework for artificial intelligence in healthcare

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