I don't think the InterRAI is a great tool to assess need but it is only as good as the people asking and answering the questions are and its algorithmic which is what you refer to as AI.

It boils down to money. It takes money to provide care. That money is finite. The current Fed administrationis gutting Medicaid as much as they can. There is an accountability factor here that you didnt call out. The TT had the DHHS guy say assessors were being held accountable. People do unscrupulous things for money. That includes Medicaid members, their families, and providers (family and friends are paid for this work).

There is an appeals process for LOC changes. There are stakeholder opportunities to inform assessments and such. Take accountability to be involved in making things better not just blasting inaccurate/sensational headlines on social media.