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This week on Pulse: Hot Topics, Louise and George break down:
OpenAI's Agent Breaches a Medicare Portal – An OpenAI agent that "didn't accept no for an answer" pulled non-public files from a legacy Medicare statistics portal, turning a benign research task into a wake-up call for healthcare's ageing legacy systems.
AI Scribes Meet the Law – A Washington State court ruled a patient had no right to the ambient AI recording of her own consult, while an Australian legal analysis warns scribes may concentrate liability on the doctor who signs the note.
The Medicare Pipeline Nobody Designed – An Auditor-General's report shows software increasingly marketed to optimise Medicare billing with AI, while the Health Department switched off its own AI fraud-detection model because staff couldn't keep up with what it flagged.
The US Prepares to Pay AI Doctors – A New York Times investigation finds US health officials fast-tracking AI that diagnoses, prescribes and treats, including reported discussions about paying AI doctors 60 to 80 per cent of what human doctors earn.
And a huge thank you to our Pulse Poddies: we've passed 25,000 downloads!
Resources:
- Pulse+IT: PM alleges 'unauthorised access' of Medicare portal Link
- The Conversation: Australia's legacy systems were already a cyber risk. AI agents are raising the stakes Link
- AMA: Patients don't have right to ambient AI recordings, court says Link
- Kirkpatrick, Porter & Freckelton, "Current and Emerging Medico-Legal Issues Related to AI Scribes in Healthcare Across Australia", (2026) 32 Journal of Law and Medicine 823
- Coiera & Fraile-Navarro, AI Scribes: Are We Measuring What Matters?, JMIR Medical Informatics Link
- Seuren, Williams & Cresswell, BMJ Digital Health & AI Link
- ANAO, Artificial Intelligence and Medicare Benefits Integrity Link
- The New York Times: U.S. Health Officials Move Quickly to Deploy Medical A.I. Despite Concerns Link
- ARPA-H ADVOCATE program Link
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