#14 - Medicare’s WISER Pilot: AI, Prior Auth, and the Cost of Care
What happens when an algorithm—not a doctor or a claims reviewer—denies your surgery? A single decision like that can trigger a much bigger conversation about how AI is reshaping access to care.
In this episode, we dive into Medicare’s WISER pilot and the complex world of prior authorization. What’s the goal? Reduce waste and streamline approvals. But where does it go wrong—and how can we fix it? With insights from AI researcher Vasan Sarati and emergency physician Laura Hagopian, we unpack how claims data trains decision-making models, why black-box algorithms erode clinician trust, and what…
The skinny
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