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AI’s Role in Medicare Decisions and Its Effects

13 October 2025
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AI’s Role in Medicare Decisions and Its Effects
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The Trump administration is initiating a pilot program starting January 1, 2024, in six states—Arizona, Ohio, Oklahoma, New Jersey, Texas, and Washington—utilizing AI to determine coverage for Medicare recipients through 2031, aiming to reduce government expenses. While Medicare Advantage plans have seen prior authorization practices, traditional Medicare has historically limited its use to avoid incentivizing service denials by contractors.

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