Medicare AI Program Hit Washington with ‘Staggering’ Denial Rate, Records Show

Slog AM: Seattle Teachers Approve New Contract, Medicare Bots Are Denying Too Many Claims, and Ed Sheeran Is Over

Bots are denying Medicare claims in Washington at a “staggering” rate. The program, which launched in six states in January, is called the Wasteful and Inappropriate Service Reduction program, aka WISeR. Ironic! The Centers for Medicare and Medicaid Services (CMS) expected it to weed out between 10 percent and 22.5 percent of claims, but in […]

US health officials move quickly to deploy medical AI despite concerns

Medicare has allowed more than 200 companies to try out pilots that can include AI. Read more at straitstimes.com.

Medicare AI program hit Washington with ‘staggering’ denial rate, records show

At the start of the year, Medicare launched an artificial intelligence-enabled prior authorization program for certain medical services in six states, including Washington.

Medicare is using AI to approve claims. The result has been ‘alarmingly high denial rates.’

A pilot program using artificial intelligence to approve care for Medicare beneficiaries has resulted in high levels of denials and delayed decisions and prompted warnings from a vendor about a lack of readiness, according to a lawsuit seeking information about the program.