Medicare's AI-based prior approval program attracted scrutiny in papers released Tuesday. The documents depict a hastily implemented rollout. They also flag unusually high denial numbers. News reports describe lengthy treatment delays 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 delays in treatment. STAT also reported on the documents.
Separately, Medicare intends to broaden a pilot covering tech for managing chronic conditions. STAT covered that planned expansion.