Medicare's AI prior authorization pilot attracted scrutiny in papers released Tuesday. The documents portray an accelerated launch. They also describe alarmingly high denial rates. News reports highlight extended waits for care 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 delays in treatment. STAT also reported on the documents.
Separately, Medicare plans to expand a pilot that pays for technology to manage chronic diseases. STAT reported that expansion.