Trump launches Medicare pilot program using private AI companies to determine eligibility
NYTIMES.COM
ai healthcare
SUMMARY

Starting January 2026, the Trump administration will implement a Medicare pilot in Arizona, New Jersey, Ohio, Oklahoma, Texas, and Washington. Private AI companies will evaluate coverage for procedures like spine surgeries, steroid injections, cervical fusion, nerve stimulators, and skin substitutes. These firms receive a share of savings from denied claims.

The program, named the Wasteful and Inappropriate Service Reduction Model, targets costly treatments deemed low-value. Sutton, from the Center for Medicare and Medicaid Innovation, stated denials involve “an appropriately licensed human clinician, not a machine.” The pilot, lasting six years, may expand based on overuse trends.

Advertisement
Scroll to continue reading

Read next

▶︎ Apple warns users in 99 countries of spyware attacks, including German lawmakers
▶︎ Disney plans thousands of layoffs, targeting 20% cost savings
▶︎ US to hold trilateral talks with Ukraine, Russia in Abu Dhabi next week
▶︎ Click here for more breaking news

Related articles

Recommended for you