This 12 months, executives from practically each main medical health insurance firm made the identical declaration in calls with Wall Road analysts: Utilizing synthetic intelligence to make protection choices 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 searching for to override AI regulation by states.
However class motion lawsuits have accused insurers of utilizing AI to wrongfully withhold remedy. And new analysis from Stanford College outlines the dangers of coaching AI on a present system rife with wrongful denials.
“There’s a world by which utilizing AI may make that worse, or no less than replicate a foul human system, as a result of the information that it will be coaching on is from that dangerous human system,” stated Michelle Mello, a co-author of the research.
Though, Mello stated, the analysis staff discovered “actual positives alongside the dangers.”
On this video produced by KFF Well being Information’ Hannah Norman, Darius Tahir, a correspondent overlaying well being expertise, explains.
You may learn Tahir’s current protection of AI’s use by well being insurers beneath:
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 packages at KFF—an unbiased supply of well being coverage analysis, polling, and journalism. Be taught extra about KFF.
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