Skip to Primary Navigation

Records raise questions about Medicare AI prior authorization pilot

A photo of CMS Administrator Dr. Mehmet Oz sitting slumped in a chair at the recent GOP "mini" convention.
Photo: Justin Sullivan/Getty Images

Newly released records reveal delays, denials, and technical issues in Medicare’s AI-driven prior authorization pilot, sparking concerns.

Documents obtained through a Freedom of Information Act lawsuit are raising new questions about the performance and oversight of Medicare’s AI-assisted prior authorization pilot.

The Electronic Frontier Foundation (EFF) has released approximately 1,000 pages of records obtained from the Centers for Medicare & Medicaid Services (CMS) concerning the Wasteful and Inappropriate

Get full access, free for a month

This is a Premium article. Start your 28-day free trial to continue reading and access all content on GRIP – no payment details required.

What’s included:

  • Every new article, plus our 5,000+ archive
  • Daily regulatory insight and guidance
  • Exclusive interviews and in-depth analysis
  • Coverage of industry-leading events and conferences
  • All podcasts and videos, featuring industry experts
  • The full set of Rules Navigator tools
  • An ad-free experience