Who Gets to Say No When AI Enters Prior Authorization?

Medicare is testing AI-supported prior authorization as states begin setting limits on automated coverage decisions—and failed bills point to what may come next.

CMS is testing AI-supported prior authorization in Original Medicare while states including Texas, Colorado, and Georgia define different limits around automation, human review, and adverse coverage decisions.

This month’s issue looks at how those rules are taking shape—and why failed legislation may be worth watching just as closely as the bills that pass.

Read the full issue on LinkedIn →