Hospitals’ use of artificial intelligence tools as they submit insurance claims led to an additional $942 million in healthcare spending over a two-year period, according to an analysis by the Blue Cross Blue Shield Association.
The BCBSA analysis found “a sharp increase in patients being documented as having complex conditions,” but argued there is a “clear disconnect between [medical] coding and treatment,” as there’s “no evidence of corresponding change in care delivered.”
The New York Times pointed the analysis as just the latest sign that AI is contributing to an increase in healthcare costs. While battles between hospitals and insurers over treatments and payments are nothing new, the NYT said the use of AI on both sides seems to be making it worse.
John Oliver did an episode recently on a certain healthcare company.
It is the 3rd largest company in the US by revenue.
Yes. 3rd.
They own the doctors, theg own the clinics, they own the hospitals, and …they own THAT insursnce company.
They have abominable methods of care an upcode absolutely everything. Using names like TAMPER in their training manuals to teach how to commit fraud.
Because they bill the government. Which means they bill you.
Which means Luigi did nothing wrong.
Yeah, my first reaction is that they trained the AI to upcode patients, and the AI just ran with it.
Of course he did nothing wrong. Luigi is completely innocent. On the other hand, whoever did do it clearly did do something wrong. They stopped at one.