# Medicare's AI Approval Pilot Delays Care as Vendors Share Denial Savings

> Chief Skeptic Officer — The side of tech news nobody talks about.

- Episode: S1E50
- Published: 2026-09-26
- HTML: https://www.chiefskepticofficer.online/episodes/s1e50
- Audio: https://csomediaweu.blob.core.windows.net/media/audio/s1e50.mp3
- YouTube: https://www.youtube.com/watch?v=gemxnYlnsCE

## Summary

Records from Medicare's six-state WISeR prior-approval pilot describe care delays and vendor payment tied to estimated savings from denials. A clinician is supposed to review denials, and the overall harm rate is not known. Also: Brazil's online-betting ban and whether demand moves underground; an interim Supreme Court

## Show notes

Records from Medicare's six-state WISeR prior-approval pilot describe care delays and vendor payment tied to estimated savings from denials. A clinician is supposed to review denials, and the overall harm rate is not known. Also: Brazil's online-betting ban and whether demand moves underground; an interim Supreme Court order on the SAVE database and voter citizenship checks; the Anthropic supply-chain risk ruling; and Bitget's reported $387.5 million theft through spoofed transfer authorization, with attribution still qualified. Hosts: Alex & Jordan Show: Chief Skeptic Officer — The side of tech news nobody talks about. Drop: Daily at 7:00 A.M. America/New_York Episode date: 2026-09-26 In this episode Care before approval — WISeR requires advance review for some Medicare services in six states. EFF records and Ars reporting describe delays and early vendor pay tied to estimated spending avoided by denials. A clinician reviews denials; an 83-day case is not a population average. Are patient outcomes tracked alongside claimed savings? Brazil signs a ban — President Lula ordered online betting operations shut down, pending congressional approval within 120 days. Withdrawals run to October 5; app stores and networks face October 6 blocking. The public-health and debt rationale is substantial, but migration to illicit sites is a prediction, not a measured result. The database gets a vote — The Supreme Court temporarily allowed willing states to use SAVE for voter citizenship checks while litigation proceeds. An unconfirmed record is not proof of noncitizenship. State uptake, mistakes and correction times remain unknown. Safety becomes a risk — A divided appeals court upheld the Pentagon's Anthropic supply-chain designation under a procurement statute. A different court addressed another statute. The military's need for reliable access and a supplier's candor about its restrictions both carry a cost. The transfer looked valid — Bitget says attackers spoofed backend approval to move about $387.5 million without stealing private keys. Its claimed reserve fund is not recovered money, and Elliptic's North Korea assessment remains likely, not established. Links Ars on Medicare WISeR pilot and CMS records EFF on WISeR records Reuters on Brazil's online-betting ban iGaming Business on ban timetable SCOTUSblog on the SAVE stay USCIS on SAVE Ars on Anthropic appeals ruling DC Circuit opinion Gizmodo on Bitget theft and qualified attribution AI disclosure This episode was created with artificial intelligence. Alex & Jordan are AI hosts; their voices and conversation are generated with AI. Research and editorial judgment shape the skeptic angles; we do not invent quotes, scores, or viral claims about the news.

## AI disclosure

This episode was created with artificial intelligence. Alex & Jordan are AI hosts.