Medicare's AI-based prior approval program attracted scrutiny in papers released Tuesday. The records portray an accelerated launch. They also flag unusually high denial numbers. News reports describe lengthy treatment delays from the pilot effort. MarketWatch reported that Medicare is using artificial intelligence for claim approvals, and that the outcome has been high denial rates. Newsweek also reported the treatment delays. STAT also reported about the released records.
Separately, Medicare plans to broaden a pilot covering tech for managing chronic conditions. STAT covered that planned expansion.