New Records Reveal Problems with Medicare’s AI Prior Authorization Experiment
www.eff.org
EFF sued the government for information a new Medicare program that uses AI to evaluate prior authorization requests for certain medical services. Today, we’re releasing approximately 1,000 pages of records obtained through this litigation. The records show that the program has resulted in widespread delays and denials of care, operational chaos, and reports of patient harm.

EFF sued the government back in March for information about the Wasteful and Inappropriate Service Reduction (WISeR) model, a new Medicare program that uses AI to evaluate prior authorization requests for certain medical services… The documents (available here) show that WISeR has resulted in widespread delays and denials of care, operational chaos, and reports of patient harm.

  • 4am@lemmy.zip
    8·
    10 days ago

    Prior Authorization is a problem, not just AI. It’s supposed to be a solution for when doctors do things like order MRIs for every patient at imaging centers they own or get kickbacks from.

    But we have a method to deal with that already and it’s called arrest and trial. Why is the solution make sick people wait for paperwork? The majority of these services are appropriate.