Medicare's AI-based prior approval program faced backlash in records released Tuesday. The records 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 tools for claim decisions, with resulting denial rates that are alarmingly high. Newsweek also reported the treatment delays. STAT also reported on the documents.
Separately, Medicare intends to expand a pilot that pays for technology to manage chronic diseases. STAT reported that expansion.