Federal AI prior-authorization test delays care for Washington seniors, report finds

The CMS WisER program, a federal AI-driven prior-authorization initiative in Washington state, is creating care delays for seniors according to a report cited by Senator Patty Murray. The program's reliance on algorithmic decision-making is increasing administrative burden for providers and extending wait times for approvals. CMS is reviewing the program's impact. Monitor the WisER demonstration project for operational updates, as findings could shape future national Medicare Advantage prior-authorization rules.