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 artificial intelligence preauthorization effort faced backlash in records released Tuesday. The records depict a hastily implemented rollout. They also flag unusually high denial numbers. News reports describe lengthy treatment delays from the initiative. MarketWatch reported that Medicare is using AI tools for claim decisions, and that the result has been alarmingly high denial rates. 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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