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 faced backlash in records released Tuesday. The records portray an accelerated launch. They also flag unusually high denial numbers. News reports describe lengthy treatment delays from the program. MarketWatch reported that Medicare is using artificial intelligence for claim approvals, with resulting denial rates that are alarmingly high. Newsweek also reported the significant care waits. STAT also reported on the documents.

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

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