Incident 110: Arkansas's Opaque Algorithm to Allocate Health Care Excessively Cut Down Hours for Beneficiaries

Description: Beneficiaries of the Arkansas Department of Human Services (DHS)'s Medicaid waiver program were allocated excessively fewer hours of caretaker visit via an algorithm deployed to boost efficiency, which reportedly contained errors and whose outputs varied wildly despite small input changes.


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Sean McGregor, Khoa Lam
What Happens When An Algorithm Cuts Your Health Care · 2018

For most of her life, Tammy Dobbs, who has cerebral palsy, relied on her family in Missouri for care. But in 2008, she moved to Arkansas, where she signed up for a state program that provided for a caretaker to give her the help she needed.…

Algorithms Are Making Decisions About Health Care, Which May Only Worsen Medical Racism · 2022

Artificial intelligence (AI) and algorithmic decision-making systems — algorithms that analyze massive amounts of data and make predictions about the future — are increasingly affecting Americans’ daily lives. People are compelled to includ…


A "variant" is an incident that shares the same causative factors, produces similar harms, and involves the same intelligent systems as a known AI incident. Rather than index variants as entirely separate incidents, we list variations of incidents under the first similar incident submitted to the database. Unlike other submission types to the incident database, variants are not required to have reporting in evidence external to the Incident Database. Learn more from the research paper.

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