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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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Alleged: InterRAI developed an AI system deployed by Arkansas Department of Human Services, which harmed Arkansas Medicaid waiver program beneficiaries and Arkansas healthcare workers.

Incident Stats

Incident ID
110
Report Count
2
Incident Date
2016-01-01
Editors
Sean McGregor, Khoa Lam
Applied Taxonomies
CSETv1, GMF, MIT

CSETv1 Taxonomy Classifications

Taxonomy Details

Incident Number

The number of the incident in the AI Incident Database.
 

110

MIT Taxonomy Classifications

Machine-Classified
Taxonomy Details

Risk Subdomain

A further 23 subdomains create an accessible and understandable classification of hazards and harms associated with AI
 

7.3. Lack of capability or robustness

Risk Domain

The Domain Taxonomy of AI Risks classifies risks into seven AI risk domains: (1) Discrimination & toxicity, (2) Privacy & security, (3) Misinformation, (4) Malicious actors & misuse, (5) Human-computer interaction, (6) Socioeconomic & environmental harms, and (7) AI system safety, failures & limitations.
 
  1. AI system safety, failures, and limitations

Entity

Which, if any, entity is presented as the main cause of the risk
 

AI

Timing

The stage in the AI lifecycle at which the risk is presented as occurring
 

Post-deployment

Intent

Whether the risk is presented as occurring as an expected or unexpected outcome from pursuing a goal
 

Unintentional

Incident Reports

Reports Timeline

Incident OccurrenceWhat Happens When An Algorithm Cuts Your Health CareAlgorithms Are Making Decisions About Health Care, Which May Only Worsen Medical Racism
What Happens When An Algorithm Cuts Your Health Care

What Happens When An Algorithm Cuts Your Health Care

theverge.com

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

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

aclu.org

What Happens When An Algorithm Cuts Your Health Care
theverge.com · 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
aclu.org · 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…

Variants

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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