TechMedicare AI pilot allegedly led to high denial rates and delayed decisions
MarketWatch reports that a lawsuit seeking information about the care-approval program cites high levels of denials, delayed decisions and a vendor’s warnings about a lack of readiness.
TLDR
A Medicare pilot using AI to approve care for beneficiaries has resulted in high levels of denials and delayed decisions, MarketWatch reports, citing a lawsuit seeking information about the program. The lawsuit also says the pilot prompted warnings from a vendor about a lack of readiness.
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MarketWatch@MarketWatchMedicare is using AI to approve claims. The result has been ‘alarmingly high denial rates.’ https://trib.al/O2XT9tR
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QU Quartz@qzMedicare's AI claims pilot has been denying more care than it approves, new records show: Documents obtained through a FOIA lawsuit show one vendor denied more requests than it approved and a request went unanswered for 83 days https://dlvr.it/TVVzGB
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