The

Public Health

AI Brief

Where AI-powered technology, healthcare, and policy systems connect to strengthen the workforce that keeps our communities healthy.

9.16.26 - Vol. 9

by: Rafat FieldsPublished on: 16/09/2026

Who gets to say no when AI enters prior authorization? This issue examines CMS's WISeR model and emerging state laws defining where automated coverage decisions stop and human review begins.

public health AIhealthcare AIartificial intelligence in healthcareprior authorizationutilization reviewMedicareOriginal MedicareCMSWISeRAI governancehealthcare policyhealth insurancecoverage decisionsautomated decision systemshuman reviewadverse determinationsstate AI legislationMedicaide-prescribingprescription prior authorization

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