The Impacts of AI on Medicare: A Closer Look
In a controversial shift, the Centers for Medicare and Medicaid Services (CMS) are set to launch a pilot program that employs artificial intelligence (AI) to determine the “appropriateness” of healthcare services for Original Medicare users. This initiative raises critical questions about the future of public welfare programs.
Key Highlights:
- Introducing AI into Medicare: The Wasteful and Inappropriate Service Reduction (WISeR) Model aims to expedite prior authorizations for certain healthcare services.
- Concerns About AI Algorithms: Critics argue that AI could lead to unjust denial of claims, reflecting a potential shift towards what some call “AI death panels.”
- Targeting Fraud & Waste: The program claims to safeguard taxpayer dollars while improving care accessibility.
As AI continues to permeate public services, understanding its implications is crucial.
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