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 portray an accelerated launch. They also flag unusually high denial numbers. News reports highlight extended waits for care from the initiative. MarketWatch reported that Medicare is using AI tools for claim decisions, and that the outcome has been high denial rates. Newsweek also reported delays in treatment. STAT also reported about the released records.

Separately, Medicare plans to expand a pilot that pays for technology to manage chronic diseases. STAT reported that expansion.

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