Medicare’s New AI Won’t Stop Unnecessary Surgery
An algorithm paid to deny care can’t distinguish between surgeries that should happen and ones that shouldn’t. Congress should fix the payment system instead.

An algorithm paid to deny care can’t distinguish between surgeries that should happen and ones that shouldn’t. Congress should fix the payment system instead.

The history of insurance shows a privatized public insurance market is working as designed: maximizing revenue by charging taxpayers and minimizing payment by denying claims.