Medicare's AI prior authorization pilot attracted scrutiny in papers released Tuesday. The records depict a hastily implemented rollout. They also show strikingly high rejection levels. News reports describe lengthy treatment delays from the program. 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.