{"id":357350,"date":"2026-05-22T01:52:49","date_gmt":"2026-05-22T06:52:49","guid":{"rendered":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/the-trump-administration-expands-its-use-of-ai-in-the-hunt-for-healthcare-fraud"},"modified":"2026-05-22T01:52:52","modified_gmt":"2026-05-22T06:52:52","slug":"the-trump-administration-expands-its-use-of-ai-in-the-hunt-for-healthcare-fraud","status":"publish","type":"post","link":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/the-trump-administration-expands-its-use-of-ai-in-the-hunt-for-healthcare-fraud","title":{"rendered":"The Trump administration expands its use of AI within the hunt for healthcare fraud"},"content":{"rendered":"<p><br \/>\n<\/p>\n<div data-testid=\"prism-article-body\">\n<p class=\"EkqkG IGXmU nlgHS yuUao MvWXB TjIXL aGjvy ebVHC \"><span class=\"oyrPY qlwaB AGxeB \">NEW YORK &#8212; <\/span>The <a class=\"zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE \" data-testid=\"prism-linkbase\" href=\"https:\/\/apnews.com\/hub\/us-department-of-health-and-human-services\">U.S. Department of Health and Human Services<\/a> on Thursday announced it is supercharging its <a class=\"zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE \" data-testid=\"prism-linkbase\" href=\"https:\/\/apnews.com\/article\/hhs-rfk-jr-health-ai-trump-4b4e2dd2e26105310c58c75c6df17b08\">use of artificial intelligence<\/a> to police how states and other recipients of federal health dollars are auditing their programs. The move is intended to <a class=\"zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE \" data-testid=\"prism-linkbase\" href=\"https:\/\/apnews.com\/article\/medicare-fraud-trump-vance-oz-health-hospice-534297fffb47e31e2a3906273f20e0b5\">tamp down risks of fraud<\/a> and save the government money.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">The department will use ChatGPT and other AI tools to analyze audit reports from all 50 states on an ongoing basis, said Gustav Chiarello, the assistant secretary for financial resources who is leading the new program.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">\u201cIt\u2019s classic big government: Everyone files an audit and it lands with a thud and no one does anything about it,\u201d Chiarello said in an interview. \u201cHere, with AI, we\u2019re able to dig into it.\u201d<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">The move builds on the department&#8217;s embrace of generative AI for investigating state Medicaid programs, automating administrative tasks and editing text. AI tools can be a powerful aid in finding patterns or problems across large documents, but critics say the government should use them with caution because they frequently make mistakes and can have unintended biases.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">The Trump administration and Vice President JD Vance\u2019s <a class=\"zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE \" data-testid=\"prism-linkbase\" href=\"https:\/\/apnews.com\/article\/vance-antifraud-task-force-45cc5786a3c84cf2190f3d312fcc3a6d\">anti-fraud task force<\/a> have spent recent months promoting efforts to crack down on fraud in the Medicaid and Medicare programs as well as in student loan applications and other areas. Those efforts have also involved using AI technology to flag likely fraud, Federal Trade Commission Chairman Andrew Ferguson said recently on Fox News.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">States, local governments, nonprofits and higher education institutions that spend at least $1 million in federal money a year are required to submit annual audits. The new initiative will use AI to analyze those audits from HHS-funded programs, including state Medicaid programs and federal grantees in research, addiction services and more, Chiarello said.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">Recipients that do not file the required reports or resolve problems in them could face a loss of funding. The initiative was first reported by The Wall Street Journal.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">Critics have blasted the administration&#8217;s anti-fraud efforts, noting most have been targeted at Democratic states and at times have reflected a tendency to attack first and gather the facts later. On at least one occasion, the administration acknowledged to The Associated Press that it <a class=\"zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE \" data-testid=\"prism-linkbase\" href=\"https:\/\/apnews.com\/article\/new-york-medicaid-fraud-dr-oz-trump-342285a3c5d5b71f36ce3f3c77ec72c5\">made a major mistake<\/a> in data it had used to help justify a New York Medicaid fraud investigation.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">Asked about safeguards against the AI tools making mistakes, Chiarello noted that officials were evaluating public reports rather than uncovering new information. He said the tools were intended to make grantees better stewards of federal dollars.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">Rob Weissman, co-president of the consumer rights advocacy group Public Citizen, said he doesn\u2019t think the administration is seriously concerned about fraud, and doesn\u2019t trust it to use AI tools in a fair and nonpartisan way.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">\u201cThe AI is kind of beside the point when you assess what their actual objectives are, rather than what they pretend they are,\u201d he said.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">HHS said it has sent letters to governors and treasurers in all 50 states alerting them to the new initiative. <\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">\u201cThis letter serves as your formal notification that HHS will no longer treat chronic audit noncompliance, repeat deficiencies, material weaknesses, or delinquent audit obligations as matters that may remain unresolved through indefinite informal follow-up,\u201d read one of the letters reviewed by the AP.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">Chiarello said he has been in touch with his counterparts in other federal departments in hopes that they follow his lead. <\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">\u201cIt would be fairly easy for the other agencies to use our technology and jump on it,\u201d he said.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">___<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC eTIW sUzSN \">Associated Press writer Geoff Mulvihill in Haddonfield, New Jersey, contributed to this report.<\/p>\n<\/div>\n<p><br \/>\n<br \/><a href=\"https:\/\/abcnews.com\/US\/wireStory\/trump-administration-expands-ai-hunt-healthcare-fraud-133198614\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>NEW YORK &#8212; The U.S. Department of Health and Human Services on Thursday announced it is supercharging its use of artificial intelligence to police how [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":357353,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[33068,33071,33067,1913,33070,31508,5748,16034,33069,4914,23541],"class_list":["post-357350","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-andrew-ferguson","tag-buyer-rights-advocacy","tag-federal-commerce-fee-chairman","tag-federal-government","tag-gustav-chiarello","tag-healthcare-fraud","tag-new-jersey","tag-public-citizen","tag-rob-weissman","tag-trump-administration","tag-u-s-department-of-health-and-human-services"],"_links":{"self":[{"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/posts\/357350","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/comments?post=357350"}],"version-history":[{"count":2,"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/posts\/357350\/revisions"}],"predecessor-version":[{"id":357352,"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/posts\/357350\/revisions\/357352"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/media\/357353"}],"wp:attachment":[{"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/media?parent=357350"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/categories?post=357350"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/tags?post=357350"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}