A new Medicare pilot program, WISeR, is using AI for prior authorization on 13 medical services in six states, aiming to reduce fraud and inappropriate care. However, the rapid rollout has caused confusion, errors, and delays for patients and doctors, ensnaring them in bureaucratic red tape similar to private insurance. For developers and healthcare IT professionals, this highlights the challenges in implementing AI-driven healthcare solutions and the critical need for careful planning and user-centric design to avoid unintended negative consequences.
Read the full article at KFF Health News
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