How Could AI's New Role in Medicare Decisions Impact You?

If you're on Medicare, you may have heard that the Trump administration is turning to artificial intelligence (AI) programs to determine whether specific healthcare services will be covered for Medicare recipients in six states. Beginning Jan. 1 and running through 2031, those on Medicare in Arizona, Ohio, Oklahoma, New Jersey, Texas, and Washington will become part of a pilot program to learn if AI can save the government money. Those on Medicare Advantage, offered by private insurance companies, may already have some experience with prior authorization since it's widely used in the private insurance industry. However, to this point, traditional Medicare, which covers adults 65 and older and some people with disabilities, has historically used prior authorization in a limited way, working only with contractors who don't earn extra money by denying services. Image source: Getty Images.Continue readingWeiter zum vollständigen Artikel bei MotleyFool Weiter zum vollständigen Artikel bei MotleyFool