Despite its growing “deeptech” bonafides, the US neurotechnology industry has wound up on the wrong side of AI.
The Centers for Medicare and Medicaid Services (CMS) announced a new pilot program to test whether AI-enabled claim denials will save money. How? By automatically reducing the use of implanted neurostimulation and other service categories "that may be fraudulent, and wasteful, or of low-value and medically unnecessary."
The Wasteful and Inappropriate Service Reduction ( WISeR ) Model is an initiative from the Center for Medicare and Medicaid Innovation (CMMI). Key details:
What: Reimbursement claims for 17 specific services, including six implanted neurotech treatments, will be automatically flagged for further medical review using AI. Physicians will receive a cut of the