DOI: 10.1001/jama.2026.21230 ISSN: 0098-7484

Changes in Service Use Following the Introduction of AI-Enabled Prior Authorization in Medicare

Hannah T. Neprash, Michael L. Barnett

This study uses Epic Cosmos data to assess changes in use of medical services by Medicare recipients after the implementation of artificial intelligence–enabled prior authorization requirements under the Center for Medicare & Medicaid Innovation WISeR (Wasteful and Inappropriate Service Reduction) model.

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