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US Sen. Ron Wyden (D-Ore.) speaks during an April 15, 2026 hearing in the US Capitol in Washington, DC.
"The bottom line is this: Seniors who choose traditional Medicare should not have their care blocked by AI," said one campaigner.
Advocates for seniors on Wednesday urged US senators to vote for a resolution that, if passed, would block a new Trump administration pilot program under which claims by patients seeking certain healthcare services through traditional Medicare would be reviewed by private companies using artificial intelligence to deny care.
Upper chamber lawmakers are set to vote Thursday on a resolution introduced by Sen. Ron Wyden (D-Ore.) and supported by 20 Democratic colleagues and Sen. Bernie Sanders (I-Vt.) to stop the US Centers for Medicare and Medicaid Services' so-called Wasteful and Inappropriate Service Reduction (WISeR) Model.
CMS claims WISeR "helps protect American taxpayers by leveraging enhanced technologies, such as artificial intelligence (AI) and machine learning, along with human clinical review, to ensure timely and appropriate Medicare payment for select items and services."
What CMS doesn't mention—and what alarms a growing number of physicians and advocates—about the voluntary model is that AI-assisted reviews could contribute to inappropriate care denials, despite the required human review. Private Medicare Advantage healthcare profiteers have been using AI to deny care for years.
Critics argue that, even if a human must sign off, AI will effectively drive many of the recommendations, making it easier and faster to deny or delay care. They also warn of inevitable financial incentives tied to reducing Medicare spending, raising concerns that AI would likely be used as a cost-cutting tool.
"WISeR is not wise at all. It is a dangerous, profit-motivated experiment that allows private third parties to use artificial intelligence to delay and deny seniors’ medical care," Social Security Works executive director Alex Lawson said Wednesday. "Under the WISeR pilot program, which went live in January 2026, reports already show Medicare beneficiaries are waiting 2 to 4 times longer to access certain care."
"This is just one more example of the harm that Republicans’ disastrous healthcare agenda has already waged on American patients," he continued. "Last year, Republicans slashed $1 trillion in Medicaid and Affordable Care Act spending to line their cronies’ pockets. Now, they are importing the worst parts of Medicare Advantage—automated care denials—into traditional Medicare."
"The bottom line is this: Seniors who choose traditional Medicare should not have their care blocked by AI," Lawson added.
Dear Common Dreams reader, It’s been nearly 30 years since I co-founded Common Dreams with my late wife, Lina Newhouser. We had the radical notion that journalism should serve the public good, not corporate profits. It was clear to us from the outset what it would take to build such a project. No paid advertisements. No corporate sponsors. No millionaire publisher telling us what to think or do. Many people said we wouldn't last a year, but we proved those doubters wrong. Together with a tremendous team of journalists and dedicated staff, we built an independent media outlet free from the constraints of profits and corporate control. Our mission has always been simple: To inform. To inspire. To ignite change for the common good. Building Common Dreams was not easy. Our survival was never guaranteed. When you take on the most powerful forces—Wall Street greed, fossil fuel industry destruction, Big Tech lobbyists, and uber-rich oligarchs who have spent billions upon billions rigging the economy and democracy in their favor—the only bulwark you have is supporters who believe in your work. But here’s the urgent message from me today. It's never been this bad out there. And it's never been this hard to keep us going. At the very moment Common Dreams is most needed, the threats we face are intensifying. We need your support now more than ever. We don't accept corporate advertising and never will. We don't have a paywall because we don't think people should be blocked from critical news based on their ability to pay. Everything we do is funded by the donations of readers like you. When everyone does the little they can afford, we are strong. But if that support retreats or dries up, so do we. Will you donate now to make sure Common Dreams not only survives but thrives? —Craig Brown, Co-founder |
Advocates for seniors on Wednesday urged US senators to vote for a resolution that, if passed, would block a new Trump administration pilot program under which claims by patients seeking certain healthcare services through traditional Medicare would be reviewed by private companies using artificial intelligence to deny care.
Upper chamber lawmakers are set to vote Thursday on a resolution introduced by Sen. Ron Wyden (D-Ore.) and supported by 20 Democratic colleagues and Sen. Bernie Sanders (I-Vt.) to stop the US Centers for Medicare and Medicaid Services' so-called Wasteful and Inappropriate Service Reduction (WISeR) Model.
CMS claims WISeR "helps protect American taxpayers by leveraging enhanced technologies, such as artificial intelligence (AI) and machine learning, along with human clinical review, to ensure timely and appropriate Medicare payment for select items and services."
What CMS doesn't mention—and what alarms a growing number of physicians and advocates—about the voluntary model is that AI-assisted reviews could contribute to inappropriate care denials, despite the required human review. Private Medicare Advantage healthcare profiteers have been using AI to deny care for years.
Critics argue that, even if a human must sign off, AI will effectively drive many of the recommendations, making it easier and faster to deny or delay care. They also warn of inevitable financial incentives tied to reducing Medicare spending, raising concerns that AI would likely be used as a cost-cutting tool.
"WISeR is not wise at all. It is a dangerous, profit-motivated experiment that allows private third parties to use artificial intelligence to delay and deny seniors’ medical care," Social Security Works executive director Alex Lawson said Wednesday. "Under the WISeR pilot program, which went live in January 2026, reports already show Medicare beneficiaries are waiting 2 to 4 times longer to access certain care."
"This is just one more example of the harm that Republicans’ disastrous healthcare agenda has already waged on American patients," he continued. "Last year, Republicans slashed $1 trillion in Medicaid and Affordable Care Act spending to line their cronies’ pockets. Now, they are importing the worst parts of Medicare Advantage—automated care denials—into traditional Medicare."
"The bottom line is this: Seniors who choose traditional Medicare should not have their care blocked by AI," Lawson added.
Advocates for seniors on Wednesday urged US senators to vote for a resolution that, if passed, would block a new Trump administration pilot program under which claims by patients seeking certain healthcare services through traditional Medicare would be reviewed by private companies using artificial intelligence to deny care.
Upper chamber lawmakers are set to vote Thursday on a resolution introduced by Sen. Ron Wyden (D-Ore.) and supported by 20 Democratic colleagues and Sen. Bernie Sanders (I-Vt.) to stop the US Centers for Medicare and Medicaid Services' so-called Wasteful and Inappropriate Service Reduction (WISeR) Model.
CMS claims WISeR "helps protect American taxpayers by leveraging enhanced technologies, such as artificial intelligence (AI) and machine learning, along with human clinical review, to ensure timely and appropriate Medicare payment for select items and services."
What CMS doesn't mention—and what alarms a growing number of physicians and advocates—about the voluntary model is that AI-assisted reviews could contribute to inappropriate care denials, despite the required human review. Private Medicare Advantage healthcare profiteers have been using AI to deny care for years.
Critics argue that, even if a human must sign off, AI will effectively drive many of the recommendations, making it easier and faster to deny or delay care. They also warn of inevitable financial incentives tied to reducing Medicare spending, raising concerns that AI would likely be used as a cost-cutting tool.
"WISeR is not wise at all. It is a dangerous, profit-motivated experiment that allows private third parties to use artificial intelligence to delay and deny seniors’ medical care," Social Security Works executive director Alex Lawson said Wednesday. "Under the WISeR pilot program, which went live in January 2026, reports already show Medicare beneficiaries are waiting 2 to 4 times longer to access certain care."
"This is just one more example of the harm that Republicans’ disastrous healthcare agenda has already waged on American patients," he continued. "Last year, Republicans slashed $1 trillion in Medicaid and Affordable Care Act spending to line their cronies’ pockets. Now, they are importing the worst parts of Medicare Advantage—automated care denials—into traditional Medicare."
"The bottom line is this: Seniors who choose traditional Medicare should not have their care blocked by AI," Lawson added.