ARCLIGHT

Featured Insight / May 2026

Design Before Deploy

Objective-Function Governance for AI-Assisted Medicare Review

Overview

Research and evidence for a more accountable system.

How WISeR, private-payer AI denials, and Medicare audit appeals reveal why high-stakes public AI systems must be co-created before procurement. The paper focuses on objective alignment, stakeholder participation, rationale transparency, human review, appeal pathways, access, burden, and accountability.

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