AI Automates Care Denials

WashingtonOne in five insured US adults faced denials.

The Centers for Medicare and Medicaid Services is piloting AI-driven prior authorization in six states through 2031; vendors earn a cut of “averted expenditures,” incentivizing denials.

Lawmakers have moved to block funding for the pilot, called WISeR, citing threats to patient access.

Sources: Ars Technica