Director / Editor: Victor Teboul, Ph.D.

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

By Grace Mackleby, Research scientist of Health Policy and Economics, University of Southern California
Jeff Marr, Assistant Professor of Health Services, Policy, and Practice, Brown University

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

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