Medicare's AI prior authorization pilot attracted scrutiny in papers released Tuesday. The records depict a hastily implemented rollout. They also describe alarmingly high denial rates. News reports point to major treatment delays from the initiative. MarketWatch reported that Medicare is using AI to approve claims, 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.