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Medicare is using AI to approve claims. The result has been ‘alarmingly high denial rates.’

MarketWatch· Jessica Hall· Sep 15, 2026 · 4:11 PM
Medicare is using AI to approve claims. The result has been ‘alarmingly high denial rates.’

A pilot program using artificial intelligence to approve care for Medicare beneficiaries has resulted in high levels of denials and delayed decisions and prompted warnings from a vendor about a lack of readiness, according to a lawsuit seeking information about the program.

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