Commissioners Discuss the Use of AI for Medicaid Prior Authorization

Commissioners Discuss the Use of AI for Medicaid Prior Authorization

The Medicaid and CHIP Payment and Access Commission (MACPAC) held a meeting to discuss automation and artificial intelligence (AI) in the prior authorization (PA) process. Commissioners were excited about the potential of AI to streamline PA but have concerns about bias and denials without proper clinical oversight. The Commission will not make recommendations this year, but will hold a panel discussion on… (McClurg, February 28, 2025) #Health Information Technology