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Doctors weaponize AI in insurance battles over patient care
Physicians are pushing back against automatic denials from healthcare insurance providers by allowing AI tools to write their appeals.
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lamplighter
Joined 2013/04/13Visited 2024/10/25
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... Doctors facing an onslaught of AI-generated patient care denials from insurance companies are fighting back " and they're using the same technology to automate their appeals. Prior authorization, where doctors must get permission from insurance companies before providing a medical service, has become "a nightmare," according to experts. Now, it's becoming an AI arms race. "And, who loses? Yup, patients," said Dr. Ashish Kumar Jha, dean of the School of Public Health at Brown University. More often than not, clinicians have historically simply given up once their appeals are denied. ...
Prior authorization, where doctors must get permission from insurance companies before providing a medical service, has become "a nightmare," according to experts. Now, it's becoming an AI arms race.
"And, who loses? Yup, patients," said Dr. Ashish Kumar Jha, dean of the School of Public Health at Brown University. More often than not, clinicians have historically simply given up once their appeals are denied. ...
#1 | Posted by LampLighter at 2024-07-31 12:07 AM | Reply
Two comments (of a few that I have...)
1) so now it seems that healthcare here in the US is a battle between AI bots?
2) this is what "healthcare for profit" has led us to. It is not a good place, imo.
#2 | Posted by LampLighter at 2024-07-31 12:09 AM | Reply
Universal healthcare is such a complex and burdensome beat that only 78 nations in the world have successfully implemented it.
#3 | Posted by Nixon at 2024-07-31 08:10 AM | Reply | Newsworthy 1
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