Medicare’s new AI experiment sparks alarm among doctors, lawmakers

Photo: An orthopedic surgeon performing knee arthroscopy. Photo credit: Viktors Duks via Pexels. Article by Anna Claire Vollers. Stateline – December 4, 2025.

A Medicare pilot program will allow private companies to use artificial intelligence to review older Americans’ requests for certain medical care — and will reward the companies when they deny it. In January, the federal Centers for Medicare & Medicaid Services will launch the Wasteful and Inappropriate Services Reduction (WISeR) Model to test AI-powered prior authorizations on certain health services for Medicare patients in six states: Arizona, New Jersey, Ohio, Oklahoma, Texas and Washington. The program is scheduled to last through 2031. […]

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