This 12 months, executives from practically each main medical insurance firm made the identical declaration in calls with Wall Avenue analysts: Utilizing synthetic intelligence to make protection selections would assist save them cash.
Even the Trump administration is testing AI’s usefulness in managing the prior authorization course of for the Medicare program, in addition to in search of to override AI regulation by states.
However class motion lawsuits have accused insurers of utilizing AI to wrongfully withhold therapy. And new analysis from Stanford College outlines the dangers of coaching AI on a present system rife with wrongful denials.
“There’s a world wherein utilizing AI might make that worse, or at the least replicate a foul human system, as a result of the info that it could be coaching on is from that unhealthy human system,” stated Michelle Mello, a co-author of the research.
Though, Mello stated, the analysis workforce discovered “actual positives alongside the dangers.”
On this video produced by KFF Well being Information’ Hannah Norman, Darius Tahir, a correspondent masking well being expertise, explains.
You possibly can learn Tahir’s latest protection of AI’s use by well being insurers under:
KFF Well being Information is a nationwide newsroom that produces in-depth journalism about well being points and is without doubt one of the core working applications at KFF—an impartial supply of well being coverage analysis, polling, and journalism. Study extra about KFF.
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