Medicare.dev is a proprietary 5-step AI engine, the Codify System, that transforms natural language health needs into automated, adaptive clinical pathways.
What is Medicare.dev?
Medicare.dev is an AI-native platform that takes a patient’s or provider’s free-text description of a health problem and outputs a structured, executable care protocol with KPIs and branching logic. It runs as a cloud-based system developed by the Centers for Medicare & Medicaid Services entity. The Codify System defines the problem, codifies a solution, assembles a team, executes the program via an AI agent, and verifies the outcome.
Key Features
- Problem Definition — AI parses natural language health descriptions to identify core issues and map them to relevant programs.
- Solution Codification — Auto-generates structured protocols containing measurable KPIs, branching clinical pathways, and adaptive rules.
- Team Assembly — Matches each case to qualified specialists based on the codified protocol and assigns tasks.
- Program Execution — A personal AI agent guides patients through the protocol, monitors progress, adapts to failures, and logs outcomes.
- Outcome Verification — Confirms results against predefined KPIs, then distributes funds or closes the loop automatically.
Who is it for?
- Patients managing chronic or complex conditions — describe your health needs in plain language and receive a personalized, step-by-step care plan with automated guidance.
- Healthcare organizations — codify standard care protocols into machine-readable pathways that assign specialists, track adherence, and verify outcomes without manual coordination.
- Care coordinators — use the system to assemble multi-disciplinary teams and monitor execution across distributed providers.
How does Medicare.dev work?
- Define the Problem — AI reads your description, identifies core issues, and selects relevant programs.
- Codify the Solution — The platform generates a structured protocol with KPIs, decision branches, and expected milestones.
- Assemble the Team — AI matches the protocol to available specialists and assigns tasks.
- Execute the Program — A personal AI agent guides you, adapts to any deviations, and tracks progress.
- Verify the Outcome — Results are checked against KPIs, and funds are released or the loop is closed.
Use cases
- A patient with diabetes: Describe symptoms and medication history in natural language; the system outputs a tailored diet, exercise, and monitoring protocol with assigned endocrinologist and dietitian.
- A hospital system: Codify a sepsis management pathway; the AI assigns nurses, triggers alerts at each KPI threshold, and verifies antibiotic administration within the golden hour.
- A Medicare administrator: Automate the prior authorization process by defining eligibility rules as a codified protocol that self-executes when a patient submits a request.
Pricing
Medicare.dev is a paid product. No tier names or dollar amounts are listed on the page.
FAQ
Is Medicare.dev free?
No. Medicare.dev is a paid platform. Details on pricing tiers are not publicly available on the website.
How does the Codify System differ from standard clinical decision support?
Standard CDS tools suggest options; the Codify System executes the entire care pathway — from problem definition through team assembly, patient guidance, and outcome verification — without manual intervention.
Who operates Medicare.dev?
The platform is associated with the Centers for Medicare & Medicaid Services (CMS) entity as shown on the site, described as a democratically governed DPI for AI-native DPGs.
