EPISODE · Oct 20, 2025 · 11 MIN
Is the future of healthcare decision making in the hands of AI?
from Soundside · host KUOW News and Information
In a few months, Washingtonians on Medicare could see additional hurdles when it comes to getting approval for their procedures and care. . That’s because the Trump Administration is exploring the use of prior authorizations to assess whether medical services are necessary for a patient. If it isn’t, the procedures may not be covered. Prior authorization is a common practice in the insurance industry but not in Medicare. The U.S. Centers for Medicare and Medicaid Services says the tool will help weed out waste and fraud. And it says it will use AI to help make eligibility decisions. Washington is one of six states that will pilot the program, starting in January. GUEST: Darius Tahir - Correspondent for KFF News RELATED LINKS: AI Will Soon Have a Say in Approving or Denying Medicare Treatments Health Care AI reviews rolling out for Medicare in WA for some procedures WISeR (Wasteful and Inappropriate Service Reduction) Model Thank you to the supporters of KUOW, you help make this show possible! If you want to help out, go to kuow.org/donate/soundsidenotes Soundside is a production of KUOW in Seattle, a proud member of the NPR Network.See omnystudio.com/listener for privacy information.
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What this episode covers
The federal government is planning a new program to approve Medicare claims. Washington is one of six states that will pilot the program, which relies on AI, starting Jan. 1st.
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Is the future of healthcare decision making in the hands of AI?
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