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Medicare
Trends
- 1AI systems are deciding who gets medical care●AI is deciding whether or not people receive medical care
Insurers are increasingly using artificial intelligence algorithms to approve or deny coverage decisions for patients, including those on Medicare plans run by companies like UnitedHealth, Cigna and Humana. Vox's Good Medicine newsletter examines how these automated systems shape access to treatment, and the growing criticism that they override doctors' judgments and leave patients fighting denials.
- 2Trump administration accused of using AI to deny seniors' medical care●Trump admin using AI to deny medical care for seniors in disastrous experiment
Critics say the Trump administration is letting AI tools decide Medicare claims for seniors, calling it a disastrous experiment in automated healthcare denials. Reporting points out that vendors rolling out AI systems have an incentive to deny as many claims as possible, raising concerns that older patients are being wrongly refused care at scale.
- 3
Australian Prime Minister Anthony Albanese has revealed a breach involving OpenAI and Medicare, according to the Sydney Morning Herald. Details of the breach, including what data was accessed and how many people may be affected, have not yet been made public. The report is drawing attention given Medicare holds sensitive health records for millions of Australians.
- 4Social Security 2027 Raise and Medicare Part B Change to Show in January●Social Security's 2027 Raise Is Announced in October. Medicare's Part B Increase Is Revealed in November. January's Deposit Is the First One to Show Both
The 2027 Social Security cost-of-living adjustment will be announced in October, while the Medicare Part B premium increase will be revealed in November. Retirees will only see the combined effect of both figures when the first payment arrives in January. Many older Americans track this timing closely because the premium increase can reduce how much of the annual raise they actually keep.