US Government Pilots AI Program to Automate Insurance Coverage Decisions

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The US government has launched a pilot program that uses artificial intelligence to assist with insurance coverage decisions. The initiative targets the prior authorization process, where insurers determine whether a requested medical treatment or service will be covered. Supporters argue AI could speed up approvals and reduce administrative burden on healthcare providers. However, critics raise concerns that automated systems could make denials faster and less accountable than human reviewers.

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