New Records Reveal Problems with Medicare’s AI Prior Authorization Experiment

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. Today, we’re releasing approximately 1,000 pages of records obtained from the Centers for Medicare & Medicaid Services (CMS) through this litigation, including contracts with tech companies, internal status reports and providers’ complaints about the program. The documents (available here) show that WISeR has resulted in widespread delays and denials of care, operational chaos, and reports of patient harm. Why We Sued for Records about WISeR EFF filed the FOIA lawsuit to gain badly needed transparency...

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