SUMMARYThe Trump administration launched a Medicare pilot called WISeR in January that uses artificial intelligence to decide whether certain senior-care treatments get prior authorization. Providers reported long delays, technical problems, and denials that left patients in pain, while the Electronic Frontier Foundation later obtained federal documents on the program. The Government Accountability Office said in May that officials had not followed proper procedure, and lawmakers have sought to shut the program down.
In January, the Trump administration rolled out a pilot program that uses artificial intelligence to authorize or deny certain types of care for patients with Medicare—a federal healthcare program for seniors that previously hasn't required doctors to get any such pre-approval, called prior authorization.
Not long after, media outlets began relaying the disastrous outcomes: technical difficulties, long delays in decisions and care, puzzling denials, frustrated doctors, and patients suffering in pain. Those reports were largely confirmed earlier this month when the Electronic Frontier Foundation released a tranche of federal documents about the program, called WISeR, that the group obtained amid litigation. The documents included feedback from healthcare providers, including one who called the program "a disgrace to the human race" and reported seeing patients crying in pain as they waited for care.
Amid the worrying reports, lawmakers have been trying to get answers and shut the program down. Meanwhile, the Government Accountability Office determined in May that Trump officials did not follow proper procedure in setting up the program, calling its legality into question. Still, it appears to be moving ahead unabated, with plans to expand in the years to come.