Today, Congresswoman Suzan DelBene (WA-01) announced that she is filing a Freedom of Information Act (FOIA) request to force the Trump administration to release unseen information on the Wasteful and Inappropriate Service Reduction (WISeR) program, which pays private companies to use AI to review Medicare claims.
Since the program began in January in Washington and five other states,… Read more »
Recently released federal documents show the Trump administration planned an expansion of an AI-driven Medicare prior authorization program to millions more patients nationwide, drawing concern after early data from the pilot points to delays in care.
Internal communications from the Centers for Medicare & Medicaid Services surfaced by a FOIA request from the Electronic Frontier… Read more »
As anxiety over artificial intelligence rises, some members of Congress are taking aim at the Trump administration’s controversial AI model to combat Medicare fraud.
House Democrats and a few Republicans are pushing for more transparency around the payment model, known as WISeR, after a tranche of government records showed it was delaying patient care.
The Centers for Medicare and… Read more »
At the start of the year, Medicare launched an artificial intelligence-enabled prior authorization program for certain medical services in six states, including Washington.
The program has since sparked controversy as patients and doctors reported significant delays and denials, leaving many in pain while they waited out lengthy appeals processes.
In response to a lawsuit, the Centers… Read more »
The rollout of a Medicare program that uses artificial intelligence to approve or deny care was hasty and error-ridden, according to more than a thousand pages of recently released documents and data.
The pilot program, called the Wasteful and Inappropriate Service Reduction model, or WISeR, launched in January and requires health care providers to seek approvals before they can provide… Read more »
On Friday, Congresswoman Suzan DelBene (WA-01) joined patients and providers at the Together Center to discuss the impact of the Medicaid cuts in Republicans’ Big Ugly Bill, many of which are set to take full effect early next year and will kick over 350,000 Washingtonians off their Apple Health coverage.
The Big Ugly Bill slashed… Read more »
The House Ways and Means Committee cleared bipartisan legislation on Wednesday to reduce insurance care denials in privately run Medicare Advantage plans, and boost price transparency.
The panel advanced seven health bills to the full House floor. Chief among them was the Improving Seniors Timely Access to Care Act, which introduces several reforms to prior authorization, which requires… Read more »
"I still have hope," said Peggy Tighe, legislative counsel for the Regulatory Relief Coalition, a group of physician specialty organizations advocating for regulatory burden reduction in Medicare, when she was asked about the Improving Seniors' Timely Access to Care Act, which was approved last week by the House Energy and Commerce Health Subcommittee.
The measure, which seeks more… Read more »
Today, Representatives Suzan DelBene (WA-01) and John Joyce, M.D. (PA-13) introduced bipartisan legislation to help Americans understand kidney disease risks and treatment so they can get care before the condition worsens, potentially leading to kidney failure, and forcing them onto dialysis or the transplant list.
Thirty-seven million Americans have chronic kidney disease (CKD), but 87%… Read more »
Today, Representatives Suzan DelBene (WA-01), Jamie Raskin (MD-08), and Lori Trahan (MA-03), along with 122 of their colleagues, demanded that the Trump administration stop injecting its MAGA agenda into the traditionally nonpartisan federal grantmaking process. In a letter to White House Office of Management and Budget (OMB) Director… Read more »
