In light of these findings, Congressman Landsman is calling for the immediate end of the use of AI to deny Medicare claims and for a GAO investigation into the WISeR Model over serious concerns, such as: Prior authorization exceeding the federal 72-hour response requirement. A prior authorization request going unanswered for 83 days. Providers reporting vendors are not returning phone calls. Thousands of Medicare claims denied. Confirms WISeR’s financial incentive to deny care.
Seek a Government Accountability Office investigation into CMS's WISeR AI prior-authorization model.
Occurrences
Evidence
verified · Source version 70203 · locator 903
Congressman Greg Landsman (D-OH) is calling for the immediate end of the use of artificial intelligence (AI) to deny Medicare claims
Assessments
The specific commitment is to seek or call for a GAO investigation into CMS's WISeR Model, not to guarantee that GAO completes an investigation. The verified original commitment states Landsman called for a GAO investigation, and the verified passage confirms the same official action context from his House office. Because the promised action was the call itself, it was fulfilled in the same term and is materially attributable to Landsman.