Medicare to expand its pilot that pays for technology to manage chronic diseases - STAT

Medicare's AI approval system criticized for high denials

Medicare's AI-based prior approval program drew criticism in new documents released Tuesday. The documents describe a rushed rollout. 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, with resulting denial rates that are alarmingly high. Newsweek also reported the treatment delays. STAT also reported on the documents.

Separately, Medicare intends to scale up a pilot that funds technology for chronic disease care. STAT covered that planned expansion.

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