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HHS Seeks Sector Input on AI for Fighting Healthcare Fraud


Request for Information Is Part of a Broader Medicare, Medicaid Fraud 'Crackdown' Marianne Kolbasuk McGee (HealthInfoSec) • February 26, 2026

The Centers for Medicare and Medicaid will use advanced AI to enhance detection and prevention of fraud as part of a "major crackdown." Federal regulators are also seeking healthcare sector input. (Image: HHS CMS)

The U.S. Department of Health and Human Services will use "advanced" artificial intelligence tools to more quickly detect and prevent Medicare and Medicaid fraud before scam claims are paid. Regulators are also seeking health sector input on AI as it fleshes out their "major crackdown" on healthcare fraud and consider potential future rulemaking.

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HHS' Centers for Medicare and Medicaid Services on Wednesday announced its AI plans as part of a broader healthcare fraud-busting initiative.

Healthcare legal and privacy experts applauded the effort, but cautioned that the request mentions nothing ...


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