Please copy and paste into the forms on the websites of your members of Congress. Please share with friends. https://www.congress.gov/contact-us
Dear Senator / Representative -
I am against the Wasteful and Inappropriate Service Reduction (WISeR) Model that would use AI to deny prior authorizations for Traditional Medicare patients. I understand that the test program will go into effect on January 1, 2026 and run for 6 years in Arizona, New Jersey, Ohio, Oklahoma, Texas, and Washington.
I want you to support these two bills to protect the healthcare of our elders. They are H.R. 5940: The “Seniors Deserve SMARTER Care Act of 2025 and H.R. 6361: The “Ban A.I. Denials in Medicare Act”.
AI prior authorizations and denials are a staple in commercial insurance and all they do is cause delay, stress, and in some cases, harm to patients. At least one Medicare Advantage insurer (United Health) used AI to deny care knowing that their algorithm was faulty and denying far too many procedures in order to save money.
If you want to save Medicare money, remember that Medicare Advantage costs the taxpayers 22% more than Traditional Medicare. Seniors deserve to have the healthcare their doctors determine they need, not the lack of care from an algorithm.
I am all in favor of meaningful reform of Medicare, but using AI to review and deny care is not meaningful reform. It has been a nightmare in commercial insurance and has no place in Medicare.
#Resist #ResistOfTheDay #healthcare #Medicare #AI
Angela G
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2025-12-23 15:40:34 UTC
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