Launched in January, the WISeR program represents a major shift for Medicare, which previously did not require doctors to obtain prior authorization for certain types of care. Under the pilot, an AI system makes coverage decisions for seniors enrolled in the federal healthcare program.
Media reports have documented technical difficulties, long delays in decisions and care, puzzling denials, frustrated doctors, and patients suffering in pain while awaiting approvals. Earlier this month, the Electronic Frontier Foundation released federal documents obtained through litigation that included feedback from healthcare providers. One provider called the program "a disgrace to the human race" and reported seeing patients crying in pain as they waited for care.
Lawmakers have been seeking answers and attempting to halt the program. In May, the Government Accountability Office determined that Trump officials did not follow proper procedure in establishing WISeR, raising questions about its legality. Nevertheless, the pilot appears to be moving ahead unabated, with plans to expand in the years to come.