LARRI and governance

Eight institutions describe the same missing record.

Journalists, senators, clinicians, federal auditors, Canadian public-service faculty, and academic researchers have each examined automated decision-making in healthcare and arrived at a problem that sits at the integrity layer. LARRI is designed to address that layer. Hear from officials and researchers, in their own words, about the problems LARRI is built to answer.

Governance and automation

In the age of AI, records need better integrity. Each account explains why

Observed practice

How algorithms are used to deny health insurance claims

PBS NewsHour

Plays from PBS
The integrity-layer problem it identifies7:25

PBS reports that claims could be rejected without opening the patient file, and that medical directors signed batches covering fifty patients with decisions averaging under two seconds. A signature produced in that workflow attaches to a database event. LARRI binds a reviewer's attestation to an exact decision package, which makes the signature attributable to the operative evidence and the policy in force when the determination was made.

Open the original source

Where regulation is converging

Governments have already named the required qualities.

Regulators have stopped asking whether automated decisions need governing and started identifying what governance must produce. ONC’s HTI-1 rule demands source attributes and risk management for predictive interventions. CMS demands specific denial reasons, standardized prior-authorization exchange, published metrics, and coverage criteria consistent with Medicare rules. NIST and GAO supply the lifecycle accountability frameworks around them. Every one of these instruments describes a decision an institution must be able to account for after the fact, and none of them specifies the record that would make the accounting possible.

Nine standards, one artifact

How LARRI meets the standards

Institutions are converging on the standards LARRI is built to uphold: every consequential automated decision should carry exact, reviewable evidence of its system, sources, purpose, risks, reasons, monitoring, human responsibility, and governing authority.

LARRI turns institutional governance into one independently verifiable decision artifact, binding every consequential outcome to its exact system, sources, intended use, risk controls, reasons, exchange context, audit history, responsible human action, and governing authority.

  1. LARRI binds each decision to the declared system, policy, configuration, profiles, and verification contracts in force at that moment. The resulting record makes the operative decision context visible without requiring disclosure of proprietary internal logic.

Normative foundation

Read how the receipt and bundle model works.

The protocol binds assertions, commitments, contracts, signer declarations, exact file bytes, and stated limitations for independent verification.

Open how it works