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

AI-based Medicare approvals spark criticism over delays

Medicare's AI-based prior approval program faced backlash in records released Tuesday. The records describe a rushed rollout. They also flag unusually high denial numbers. News reports point to major treatment delays 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 delays in treatment. STAT also reported about the released records.

Separately, Medicare intends to broaden a pilot covering tech for managing chronic conditions. STAT covered that planned expansion.

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