Medicare is experimenting with having AI review claims – a cost-saving measure that could risk denying needed care

The pilot, launched in January 2026 in 6 states, could reduce wasteful spending, but increases provider paperwork and risks patient access to necessary care.

By: Grace Mackleby, University of Southern California and Jeff Marr, Brown University, The Conversation

Outlets: The Conversation

Published: February 4, 2026

Words: 1,257

Last Updated: 1 month, 1 week ago

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By Grace Mackleby, University of Southern California and Jeff Marr, Brown University

Medicare has launched a six-year pilot program that could eventually transform access to health care for some of the millions of people across the U.S. who rely on it for their health insurance coverage.

Traditional Medicare is a government-administered insurance plan for people over 65 or with disabilities. About half of the 67 million Americans insured through Medicare have this coverage. …

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