Session 1 — Why Healthcare AI Must Use RAG
Healthcare is one of the highest-stakes domains for AI hallucination. A chatbot that confidently states the wrong Medicare Part B premium, the wrong deductible, or the wrong enrollment deadline doesn't just give a bad user experience — it can cost a patient thousands of dollars, cause a coverage gap, or delay critical care. The figures change every year. A model's training cutoff guarantees its healthcare numbers are already out of date.
The standard fix is Retrieval-Augmented Generation: before the model answers, it searches a curated, up-to-date knowledge base and constructs its answer from retrieved passages rather than from memory. This doesn't eliminate all errors, but it makes errors detectable — because every claim in the answer is traceable to a specific retrieved chunk that the user can verify.
For this capstone, our knowledge base is built from real CMS (Centers for Medicare & Medicaid Services) public data: Medicare Parts A, B, C, and D; Medicaid; enrollment periods; preventive services; Medicare Savings Programs; and appeals. CMS is the federal agency that administers Medicare and Medicaid — its published figures are the authoritative source.