Washington seniors face denied, delayed care under AI-driven Medicare review pilot program
By
Stephen Howie
2d ago· 8 min readenNews
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Summary
A federal pilot program called WISeR, launched in January across six states including Washington, uses AI to review Medicare procedure requests. The program incentivizes private companies to deny procedures, leading to delayed or denied care for seniors. Health care providers and lawmakers report worsening health outcomes, and Democratic Congressional members are pushing to repeal the program.
Key quotes
· 3 pulledFive months into a pilot program that uses AI to review certain Medicare procedure requests, Washington seniors face new hurdles and worsening health outcomes, according to health care providers and lawmakers.
The program, which incentivizes participating private companies to deny procedures, has become the target of a repeal effort by Democratic Congressional members, including those from Washington state.
The six-year federal Wasteful and Inappropriate Service Reduction program (WISeR), which launched in Washington and five other states in January, aims to reduce fraud
Five months into a pilot program that uses AI to review certain Medicare procedure requests, Washington seniors face new hurdles and worsening health outcomes, according to health care providers and lawmakers.
