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Medicare Will Start Paying AI Companies a Share of Any Claims They Automatically Reject

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Medicare Will Start Paying AI Companies a Share of Any Claims They Automatically Reject

Photo: Mehmet Oz, administrator of the Centers for Medicare & Medicaid Services, from left, US President Donald Trump, and Robert F. Kennedy Jr., US secretary of Health and Human Services (HHS), during a news conference in the Roosevelt Room of the White House in Washington, DC, US, on Monday, May 12, 2025. Photo credit: Official White House photo by Joyce N. Boghosian via Flickr. US government work. Article by Frank Landymore. Futurism – September 2, 2025.

It’s long been the practice of private health insurers to require “prior authorization” before you can get the treatment you need. Often, they’ll try to deny as many of these claims as possible — including with the use of AI models. Government-backed plans like Medicare, however, have tended to cover what private insurers don’t, and without the laborious application process. […]

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Understanding Medicare’s Prior Approval Pilot Program—and What States Will Be Impacted – Time

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