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Private Medicare, Medicaid Plans Exaggerate In-Network Mental Health Options, Watchdogs Say

A federal probe of Medicare and Medicaid plans run by private insurance companies found that the plan operators often overstated how many mental health providers were available in their networks. In some cases, investigators found providers had never had contracts with plans they were listed on.

AI Will Soon Have a Say in Approving or Denying Medicare Treatments

A pilot program testing the use of artificial intelligence to expand prior authorization decisions in Medicare has providers, politicians, and researchers questioning Trump administration promises to curb an unpopular practice that has frustrated patients and their doctors.