This is the script of my national radio report yesterday on how Trump's Medicare is using AI to reject preapproval Medicare treatments, in some cases leaving patients in literal agony. As always there may have been minor wording variations from this script as I presented this report live on air.
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Well, the short answer is ... it's not going very well at all. We've talked before about a whole range of related AI problems. Examples of these include sometimes crucial errors in AI-generated reports created from police officer body cameras, potentially devastating errors in transcriptions of recorded doctor-patient interactions, like inaccuracies about medications a patient is taking or even confusing which body parts are involved in an important, or potentially critical treatment. Some health experts are recommending declining to have your discussions with doctors monitored by AI, assuming you're even asked for permission.
In theory these kinds of AI-generated reports are supposed to be verified by humans, but human nature being what it is, it's clear that the human verification step slacks off very quickly. This can leave AI reports that can sometimes appear to be written by idiots, which frankly isn't a surprise, because we've all seen that current AI systems tend to have less real intelligence and common sense -- as we normally use those terms -- than your average damp sponge.
What you may not know is that recently the federal government, which of course is currently very gung ho on AI, started an experimental Medicare program called "WISeR" where private companies are using AI as part of approvals or rejections of Medicare treatment preapproval requests. And apparently Medicare is planning to expand this procedure beyond the current set of treatments in the experiment to a much larger array of Medicare services.
A whole mass of documents recently became public regarding this AI Medicare program, and it's very upsetting reading. Patients are reportedly being left literally screaming in agony when pain relief treatment approvals were taking far too long -- in at least one case months instead of a few days -- and in many cases were being rejected outright because these firms reportedly have a financial incentive to reject as many procedures as possible. Even when these firms are found to be not processing claims properly, the financial penalties are relatively small.
This whole system, especially as it impacts managed care like Medicare Advantage, appears to be designed to use AI as an excuse to deny as many treatments as possible, with the documents now public suggesting that many of those denials were unjustifiable. As I mentioned, reportedly Medicare wants to EXPAND this program despite its record of failures, including using AI-based decisions in time-sensitive situations like emergency transport and the like.
Even if these AI systems were capable of 100% accurate analysis of these situations, using them in this kind of way to provide an excuse for reducing necessary treatments would be unacceptable. But we know how error-prone AI is, often spewing out completely inaccurate and sometimes dangerous wrong answers, misinterpretations, and misinformation. That makes the situation orders of magnitude worse.
Cutting down on genuinely wasteful Medicare spending is a laudable goal, But it's intolerable to be treating Medicare recipients as guinea pigs for AI, with patients often blocked from important treatments by those AI systems, while Big Tech AI CEOs are literally partying it up with government officials.
Medicare is supposed to be a service, not an AI experiment that apparently can actually harm patients. Rather than running an AI Medicare experiment on vulnerable seniors, perhaps these Big Tech AI CEOs and their friends in government, should be experimenting ... on themselves.
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