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Lifestyle
Teri Monroe

AI Is Quietly Deciding Who Gets Medicare Care—And Lawmakers Are Sounding the Alarm

AI making Medicare decisions
Image Source: 123rf.com

Artificial intelligence is no longer confined to Silicon Valley startups or tech giants—it’s quietly shaping healthcare decisions for millions of seniors. Medicare Advantage insurers increasingly use AI tools to approve or deny treatments, determine lengths of hospital stays, and decide when coverage ends. For patients, these algorithms can mean the difference between extended care or an unexpected bill. Lawmakers are now raising red flags, questioning whether automation is serving patients—or the bottom line. The future of care for retirees may depend on how these concerns are addressed.

How AI Is Being Used in Medicare

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