{"id":186004,"date":"2026-02-10T05:40:00","date_gmt":"2026-02-10T10:40:00","guid":{"rendered":"https:\/\/testing.news-you-need.com\/index.php\/2026\/02\/10\/ohio-medicare-patients-now-need-approval-for-certain-procedures-from-artificial-intelligence\/"},"modified":"2026-02-10T05:55:09","modified_gmt":"2026-02-10T10:55:09","slug":"ohio-medicare-patients-now-need-approval-for-certain-procedures-from-artificial-intelligence","status":"publish","type":"post","link":"https:\/\/testing.news-you-need.com\/index.php\/2026\/02\/10\/ohio-medicare-patients-now-need-approval-for-certain-procedures-from-artificial-intelligence\/","title":{"rendered":"Ohio Medicare patients now need approval for certain procedures \u2013 from artificial intelligence"},"content":{"rendered":"<p><a href=\"https:\/\/www.wyso.org\/2026-02-10\/ohio-medicare-patients-now-need-approval-for-certain-procedures-from-artificial-intelligence\">Ohio Medicare patients now need approval for certain procedures \u2013 from artificial intelligence<\/a><\/p>\n<p><a href=\"https:\/\/www.wyso.org\/2026-02-10\/ohio-medicare-patients-now-need-approval-for-certain-procedures-from-artificial-intelligence\">https:\/\/www.wyso.org\/2026-02-10\/ohio-medicare-patients-now-need-approval-for-certain-procedures-from-artificial-intelligence<\/a><\/p>\n<p>Publish Date: <a href=\"publish_date]\">2026-02-10 05:40:00<\/a><\/p>\n<p>Source Domain: <a href=\"www.wyso.org\">www.wyso.org<\/a><\/p>\n<ul>\n<li>\n<p><strong>New Medicare Procedure Approval Process<\/strong>: The federal pilot program called WISeR Model has started using AI to determine which outpatient procedures Medicare patients in Ohio, among other states, need prior approval for, marking a change from Medicare\u2019s minimal use of prior authorization historically.<\/p>\n<\/li>\n<li>\n<p><strong>Role of AI in Screening<\/strong>: Private companies hired by the federal government will use AI to screen for overused procedures or those that don&#8217;t match typical clinical guidelines. Human doctors will still make the final decisions.<\/p>\n<\/li>\n<li>\n<p><strong>Potential Patient Impact<\/strong>: For most Medicare recipients in Ohio, nothing changes unless their doctor orders one of the listed procedures, which could result in delays in approval. Concerns are raised about the potential for patients to stay in pain longer or face worsened conditions due to delays.<\/p>\n<\/li>\n<li>\n<p><strong>Mixed Opinions Among Experts<\/strong>: While supporters believe AI could reduce unnecessary care and flag treatments that drive up Medicare costs, detractors worry it could add administrative hassle and delay critical care. Some doctors fear the added process might not be justified by potential savings or reduced fraud.<\/p>\n<\/li>\n<li>\n<p><strong>Concerns Regarding AI<\/strong>: Patient advocates are worried the automated system might lead to errors and flag individuals with complex health issues unfairly because they deviate from typical patterns. Critics also point to the problem of growing prior authorizations, singled out by polling as a major burden.<\/p>\n<\/li>\n<li>\n<p><strong>Potential Future Influence on Medicare Care<\/strong>: If successful, this pilot program could influence how much power technology holds over Medicare patients\u2019 future care, with significant implications for patient care and administrative processes.<\/p>\n<\/li>\n<\/ul>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ohio Medicare patients now need approval for certain procedures \u2013 from artificial intelligence https:\/\/www.wyso.org\/2026-02-10\/ohio-medicare-patients-now-need-approval-for-certain-procedures-from-artificial-intelligence Publish&#8230;<\/p>\n","protected":false},"author":1,"featured_media":186005,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"fifu_image_url":"https:\/\/npr.brightspotcdn.com\/dims4\/default\/4a38e03\/2147483647\/strip\/true\/crop\/1536x806+0+109\/resize\/1200x630!\/quality\/90\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F5a%2Ff4%2F59e0a8cd4e20a09cd3a28158afd8%2Fimage-1.png","fifu_image_alt":"","footnotes":""},"categories":[14],"tags":[20],"class_list":["post-186004","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artificial-intelligence","tag-artificial-intelligence"],"_links":{"self":[{"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/posts\/186004"}],"collection":[{"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/comments?post=186004"}],"version-history":[{"count":1,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/posts\/186004\/revisions"}],"predecessor-version":[{"id":186006,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/posts\/186004\/revisions\/186006"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/media\/186005"}],"wp:attachment":[{"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/media?parent=186004"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/categories?post=186004"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/tags?post=186004"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}