New Records Obtained by EFF Expose More Problems with Medicare’s AI Experiment

New records obtained by EFF expose additional issues with Medicare’s AI-driven prior authorization program and show why we need stronger legal limits around government use of automated decision-making. EFF sued the government back in March for information about the Wasteful and Inappropriate Service Reduction (WISeR) model, a new Medicare program that uses AI to evaluate prior authorization requests for certain medical services. We previously released records showing that WISeR has resulted in delays and denials of care, operational chaos, and reports of patient harm. Today, we’re publishing over 800 new pages of records, including: Requests for information (RFIs) or requests for corrective action plans (CAPs) sent from the Centers for Medicare & Medicaid Services (CMS) to four of the six WISeR vendors, along with the vendors’ responses. Applications of 66 companies to the WISeR model, including those of the 6 selected companies. Task orders and contracts for the evaluation, implementa