Medicare's AI-based prior approval program attracted scrutiny in papers released Tuesday. The documents depict a hastily implemented rollout. They also show strikingly high rejection levels. News reports point to major treatment delays from the initiative. MarketWatch reported that Medicare is using AI to approve claims, with resulting denial rates that are alarmingly high. Newsweek also reported the treatment delays. STAT also reported about the released records.
Separately, Medicare plans to expand a pilot that pays for technology to manage chronic diseases. STAT reported that expansion.