Medicare's AI-based prior approval program attracted scrutiny in papers released Tuesday. The documents describe a rushed rollout. They also describe alarmingly high denial rates. News reports highlight extended waits for care from the program. MarketWatch reported that Medicare is using AI tools for claim decisions, and that the outcome has been high denial rates. Newsweek also reported the treatment delays. STAT also reported on the documents.
Separately, Medicare is set to scale up a pilot that funds technology for chronic disease care. STAT covered that planned expansion.