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GMJ News > GMJ Briefs > Announcement: Medicare’s AI Prior Authorization System Creates Patient Care Delays, Doctors Report

Announcement: Medicare’s AI Prior Authorization System Creates Patient Care Delays, Doctors Report

GMJ
Last updated: 15/08/2026 11:29
By
Prof. Giorgi Pkhakadze
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Healthcare provider reviewing prior authorization decision on computer screen
Medicare's pilot programme using artificial intelligence to automate prior authorisation decisions is generating significant delays and errors, according to participating physicians. Federal officials defend the system as necessary for cost control and fraud reduction, but frontline clinicians report it creates substantial administrative burden rather than efficiency gains. — Photo by Castorly Stock on Pexels (Pexels License)
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1 min read|64 words

Medicare's AI-driven prior authorization pilot is generating significant delays in patient care and physician frustration, according to frontline healthcare reports. Federal officials defend the system for fraud prevention and cost containment, but clinicians describe workflow disruptions and system errors. The gap between policy objectives and clinical reality highlights challenges in healthcare AI deployment. Read our analysis:

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GMJ Brief · Announcement

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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