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New AI Model Sparks Controversy Over Medicare Access

9/4/2025

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Summary

Story summary

Starting January 2026, the Centers for Medicare and Medicaid Services (CMS) will launch the WISeR prior authorization model in six states to reduce Medicare waste.
Critics, including House Democrats and the American Medical Association, warn it could restrict care access and heighten administrative burdens.
The model's use of artificial intelligence for screening raises concerns about potential Medicare privatization.

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Story summary

Starting January 2026, the Centers for Medicare and Medicaid Services (CMS) will launch the WISeR prior authorization model in six states to reduce Medicare waste.
Critics, including House Democrats and the American Medical Association, warn it could restrict care access and heighten administrative burdens.
The model's use of artificial intelligence for screening raises concerns about potential Medicare privatization.