Daily Briefing for October 27, 2026
Physician in the Loop · Oct 27, 2026 · 5:29
Physician in the Loop · Oct 27, 2026 · 5:29
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Medicare's AI prior authorization pilot cuts service use, JAMA study finds
The voices on this episode are generated, and so is the script, from the day's post at Physician in the Loop. Every fact in the post links to its source.
Use of services covered by Medicare's AI-assisted prior authorization pilot fell about 15% to 20% in its first six months in the six participating states, according to a JAMA research letter published Oct. 26.
The authors, Hannah Neprash of the University of Minnesota and Michael Barnett of Brown University, said the data cannot show whether the care patients did not receive was wasteful or necessary. Services that were scheduled for the Wasteful and Inappropriate Service Reduction (WISeR) model but never put under review showed no decline, and the reduction in epidural steroid injections narrowed from about 21% to about 9% between the first and second quarters, the University of Minnesota said.
The same day, the Department of Health and Human Services finalized its HTI-5 rule, which removes the requirement that certified health record software carry standard information on how predictive AI tools were built and tested.
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