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Trump admin using AI to deny medical care for seniors in disastrous experiment

Trump admin using AI to deny medical care for seniors in disastrous experiment

Summary

In January, the Trump administration started a program called WISeR that uses artificial intelligence to approve or deny certain medical care for Medicare patients. The program has caused many problems like delays, confusing denials, and patient suffering, and government watchdogs say it was set up improperly.

Key Facts

  • WISeR is an AI-based program for prior authorization of some Medicare medical services.
  • It began in January in six states: New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington.
  • The program covers services such as nerve stimulation, pain injections, neck bone surgery, wound care, and treatments for incontinence and impotence.
  • Doctors and patients reported long delays and confusing denials, causing pain and frustration.
  • The Government Accountability Office said the program did not follow proper rules when it started.
  • One vendor had to auto-approve all requests temporarily to avoid backlogs because the system was not ready.
  • Another vendor denied more than half of the authorization requests it reviewed.
  • Lawmakers have tried to get more information and stop the program, but efforts have been blocked by Republicans.
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