Home/Events/Trump Administration's WISeR Program Uses AI for Medicare Prior Authorization

Trump Administration's WISeR Program Uses AI for Medicare Prior Authorization

Confirmed

Confidence

80%

Impact: 70%

Updated 2h ago

Consensus Brief

The Trump administration's WISeR program, which employs AI to authorize or deny Medicare services, has faced significant backlash due to technical difficulties, long delays, and high denial rates. Reports indicate that the program has caused distress among patients and healthcare providers, leading to calls for its termination.

Sourced from

Ars TechnicaT2

Primary: Ars Technica

What Changed Since Last Update

2h ago

The introduction of the WISeR program marks a shift from a system that did not require prior authorization for Medicare services to one that mandates it for select procedures.

Claim Ledger

4 claims tracked across sources

Confirmed Fact

WISeR program requires prior authorization for around a dozen medical services.

Confirmed Fact

Virtix denied 53% of prior authorization requests as of March 30.

Confirmed Fact

The program is intended to provide authorization decisions within 72 hours, but many requests have taken weeks or months.

Confirmed Fact

The Government Accountability Office determined that proper procedures were not followed in setting up the program.

Role-Based Impact Analysis

Source Timeline

1 source corroborating

Trump admin using AI to deny medical care for seniors in disastrous experiment

Ars Technica·2h ago