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 drew criticism in new documents released Tuesday. The records portray an accelerated launch. They also flag unusually high denial numbers. News reports point to major treatment delays from the pilot effort. MarketWatch reported that Medicare is using AI to approve claims, with resulting denial rates that are alarmingly high. Newsweek also reported the treatment delays. STAT also reported about the released records.

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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