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The rushed launch of a Medicare pilot to use AI for prior authorization led to delayed care in some instances, new documents reveal. https://t.co/rl5UaRzTpG

Medicare's AI prior authorization pilot was rushed and full of problems, new documents reveal statnews.com
AI Weekly's analysis
  • CMS launched its WISeR AI prior-authorization pilot in six states in January 2026 despite a vendor warning the launch date was unrealistic, per EFF FOIA records.
  • Two vendors denied more than 20,000 requests in three months, and one request went unanswered for 83 days against CMS's 72-hour standard.
  • WISeR contractors keep up to 20 percent of the savings on services they deny while facing only 5 to 10 percent payment penalties for poor quality scores.
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