{"id":217454,"date":"2026-05-20T15:29:00","date_gmt":"2026-05-20T19:29:00","guid":{"rendered":"https:\/\/testing.news-you-need.com\/index.php\/2026\/05\/20\/democrats-mount-new-attempt-to-end-medicare-ai-prior-authorization-pilot\/"},"modified":"2026-05-20T15:35:12","modified_gmt":"2026-05-20T19:35:12","slug":"democrats-mount-new-attempt-to-end-medicare-ai-prior-authorization-pilot","status":"publish","type":"post","link":"https:\/\/testing.news-you-need.com\/index.php\/2026\/05\/20\/democrats-mount-new-attempt-to-end-medicare-ai-prior-authorization-pilot\/","title":{"rendered":"Democrats mount new attempt to end Medicare AI prior authorization pilot"},"content":{"rendered":"<p><a href=\"https:\/\/www.statnews.com\/2026\/05\/20\/democrats-force-vote-to-end-medicare-ai-prior-authorization-pilot\/\">Democrats mount new attempt to end Medicare AI prior authorization pilot<\/a><\/p>\n<p><a href=\"https:\/\/www.statnews.com\/2026\/05\/20\/democrats-force-vote-to-end-medicare-ai-prior-authorization-pilot\/\">https:\/\/www.statnews.com\/2026\/05\/20\/democrats-force-vote-to-end-medicare-ai-prior-authorization-pilot\/<\/a><\/p>\n<p>Publish Date: <a href=\"publish_date]\">2026-05-20 15:29:00<\/a><\/p>\n<p>Source Domain: <a href=\"www.statnews.com\">www.statnews.com<\/a><\/p>\n<ul>\n<li>Senate and House Democrats introduced resolutions to overturn a Medicare pilot program using AI for care approval.<\/li>\n<li>The program, called Wasteful and Inappropriate Service Reduction (WISeR), has led to allegations of delayed care in the six states it&#8217;s implemented: Arizona, New Jersey, Oklahoma, Ohio, Texas, and Washington.<\/li>\n<li>This action follows a GAO ruling that WISeR should have been submitted to Congress before implementation in January.<\/li>\n<li>Proponents argue WISeR denies necessary care and could be a backdoor approach to privatizing Medicare.<\/li>\n<li>The program targets specific supplies and procedures for AI review; providers submit for approval to contractors paid based on the number of denials, which some experts deem an incentivization to deny care.<\/li>\n<li>CMS will audit participants and terminate those with high inaccuracy rates in response to these concerns.<\/li>\n<li>The resolution requires 30 signatures to proceed to a Senate floor vote, with a goal of ending the WISeR pilot if passed. Bipartisan support is uncertain.<\/li>\n<\/ul>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Democrats mount new attempt to end Medicare AI prior authorization pilot https:\/\/www.statnews.com\/2026\/05\/20\/democrats-force-vote-to-end-medicare-ai-prior-authorization-pilot\/ Publish Date: 2026-05-20&#8230;<\/p>\n","protected":false},"author":1,"featured_media":217455,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"fifu_image_url":"https:\/\/www.statnews.com\/wp-content\/uploads\/2026\/03\/GettyImages-2263005758-1024x576.jpg","fifu_image_alt":"","footnotes":""},"categories":[14],"tags":[],"class_list":["post-217454","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artificial-intelligence"],"_links":{"self":[{"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/posts\/217454"}],"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=217454"}],"version-history":[{"count":1,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/posts\/217454\/revisions"}],"predecessor-version":[{"id":217456,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/posts\/217454\/revisions\/217456"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/media\/217455"}],"wp:attachment":[{"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/media?parent=217454"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/categories?post=217454"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/tags?post=217454"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}