Federal News
CMS Advances AI Adoption in Medicaid and Medicare
March 25, 2026
The Centers for Medicare and Medicaid Services (CMS) under Administrator Mehmet Oz is actively promoting the integration of artificial intelligence (AI) across Medicaid and Medicare programs to enhance patient experience, reduce costs, and improve program integrity. CMS initiatives include the Medicare App Library to facilitate AI tool adoption and encouraging states to invest in AI-driven fraud detection and operational efficiencies. Medicare Advantage insurers are also urged to balance cost management with quality outcomes amid proposed rate adjustments, signaling increased scrutiny on performance and technology use.
- CMS leadership emphasizes AI as a transformative procurement and operational tool, creating opportunities for vendors specializing in healthcare AI solutions and program integrity technologies.
- States managing Medicaid programs may seek AI-enabled services and software to support fraud prevention and cost control, indicating potential contract opportunities.
- Medicare Advantage plans face pressure to adopt AI tools to improve quality and cost-effectiveness, suggesting demand for AI analytics and patient management platforms.
- Procurement professionals should note CMSβs focus on privacy and trust, which may influence contract requirements and compliance standards for AI implementations.
The real question is, are we going to run from it and try to slow it down, or are we going to find ways to make it safe and embrace it?
— Mehmet Oz, CMS Administrator
Your stewardship as a Medicare Advantage plan is to deliver superior quality outcomes on a cost-adjusted basis for every beneficiary.
— Chris Klomp, Medicare Director
We believe they should be using AI at every point where they can. They are not doing that today.
— Dan Brillman, Medicaid Director
Agencies
Centers for Medicare and Medicaid Services, Medicaid, Medicare
Vendors
AxAdvocacy Government Relations, Arnold & Porter, Ballard Partners, Cornerstone Government Affairs
Locations
Sources
- Medicaid's AI βcultural shiftβ - POLITICO · Politico · Mar 25