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8 September 2026

How a Secretive Algorithm Is Slashing Medicaid Funding for Disabled Care

A secretive computer algorithm is drastically cutting Medicaid funding for nearly 900 people with developmental disabilities in Nebraska, leaving families fearful for their loved ones' safety.

How a Secretive Algorithm Is Slashing Medicaid Funding for Disabled Care

The political landscape is shifting as Democrats aim to leverage voter dissatisfaction with the economy to gain control of the Senate. Meanwhile, a tragic plane crash in Miami has claimed five lives, and a secretive computer algorithm is drastically reducing Medicaid funding for disabled individuals in Nebraska.

In Nebraska, families are grappling with the consequences of a new algorithm that has slashed Medicaid funding for nearly 900 people with developmental disabilities. The interRAI tool, adopted by the state last year, has led to significant cuts in caregiving funds, leaving families afraid for the safety of their loved ones.

The Impact of Medicaid Cuts on Families

Susan Browne, a resident of Lincoln, Nebraska, has spent decades worrying about who would care for her two disabled sons after she and her husband are no longer able to. David, 47, and John Michael, 45, both have profound autism and require assistance with daily tasks. The Brownes created a nonprofit last year to provide care for their sons using Medicaid funding for people with disabilities.

However, the interRAI algorithm has slashed the brothers’ combined Medicaid funding by more than $220,000 a year. Families describe assessments riddled with errors, caregiving cuts so severe they fear for their loved ones’ safety, and an appeals process that appears to rubber-stamp whatever the algorithm decides.

The Role of the interRAI Algorithm

The interRAI tool is a standardized system designed to make funding decisions fairer and more consistent. However, families and advocates argue that the algorithm is making preposterous errors and failing to account for the unique needs of individuals with developmental disabilities.

State officials maintain that the interRAI tool is necessary to ensure fairness and consistency in funding decisions. But families like the Brownes are left wondering how they will continue to provide the care their loved ones need.

The Broader Implications

The Medicaid cuts in Nebraska are part of a broader trend of reducing funding for essential services. As the political landscape shifts and voter dissatisfaction grows, it remains to be seen how these cuts will impact the lives of vulnerable individuals and their families.

In the meantime, families like the Brownes are left to navigate a complex and often confusing appeals process, hoping to secure the funding they need to provide care for their loved ones.

Author

Henry Anderson

Henry Anderson of Edinburgh, sharp-corporate in demeanour, famously argued to run a council budget deep-dive after a packed Holyrood briefing, choosing public-accountability over easy headlines. Prefers evidence-led interrogation of institutions and collects annotated maps of the Lothians as a private quirk.