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The Conversation
The Conversation
Grace Mackleby, Research scientist of Health Policy and Economics, University of Southern California

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

A new pilot brings some automated treatment decisions from Medicare Advantage to traditional Medicare. Doomu/iStock via Getty Images

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. The rest have Medicare Advantage plans administered by private companies.

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