Amerikanische Krankenversicherungsunternehmen haben KI leise eingesetzt, um medizinische Ansprüche für automatische Deny mit praktisch keinem menschlichen Versehen zu erhalten? Klingt verrückt und ich weiß nicht, wie dies erlaubt ist. Cool für Menschen, die versuchen, sich zu wehren und Patienten und Kliniken mit kostenlosen KI -Tools zu helfen, aber ich weiß nicht, wie dies erfolgreich sein wird, weil die großen Versicherungsunternehmen viel mehr Geld und besser haben
Big Insurance Uses AI to Quickly Deny Claims, One Man Fights Back with AI App That Quickly Appeals
9 Kommentare
How is this worse than hiring an actual doctor to deny 500 claims an hour?
It doesn’t sound insane at all, just inhumane. And of course this is allowed. It is still very far from the most illegal and unethical activities healthcare providers have done, have been able to do and even at times encouraged to do.
Submission statement: If AI continues to be used by health insurance companies to automatically deny claims, the future of healthcare could shift dramatically potentially reducing costs for insurers but increasing suffering for patients. We should discuss whether AI in healthcare should be regulated differently, and how competing AI tools from patient advocacy groups might balance the power. Could this lead to an arms race between corporate and public-interest AI, and what would that mean for medical ethics, privacy, and healthcare equity in the next decade?
People are going to need an Ai agent that communicates on their behalf. It will be the only way to level the field of consumer to business and will probably make things happen more efficiently in most cases. Edge cases will get harder and harder to fix though.
Holy God damn fucking shit am I glad to live in a country that doesn’t have this kind of crap to deal with.
My healthcare is decided by my doctor, and will be for the foreseeable future. If they say I need something, the only challenging block is how available it is and what the way times look like, and when things are serious, the way times get dropped off real fast.
Health care for profit is such an insane and inhuman thing to be talking about in a society with this much wealth.
And the fact that it’s getting worse is just mind-boggling. Sorry America, I think you’re doomed.
The most likely next step is for hospitals to begin rolling out AI nurses, which will take over seeing most patients, diagnosing, and prescriptions. There will be one doctor kept on staff whose job is to rubber-stamp whatever the AI says. If they say “no” whenever the AI writes a set of prescriptions guaranteed to kill the patient, they get fired. It’s even possible the standards of care will be rewritten to say that following AI instruction is necessary and defying it could be grounds for losing a medical license.
Silicon valley will kill us all for a buck if we let them.
If insurers are using AI why aren’t there guardrails? And better appeal rights? I’m glad there’s free AI tools like Counterforce Health out there, but seriously, why is the government asleep here in not properly regulating health insurance companies?
The lengths we go to for useless middlemen to get rich
Its funny/scary/sad to think about “AI versus AI” this is going to turn into. I guess the positive side is patients aren’t getting caught in crossfire. Both an uplifting story that these people at Counterforce Health created a free AI to help patients, but also a frustrating story the insurance companies are doing this in the first place.