Darius Tahir and Hannah Norman, KFF Health News
This yr, executives from almost each main medical health insurance firm made the identical declaration in calls with Wall Street analysts: Using 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 looking for to override AI regulation by states.
But class motion lawsuits have accused insurers of utilizing AI to wrongfully withhold remedy. And new research from Stanford University outlines the dangers of coaching AI on a present system rife with wrongful denials.
“There is a world in which using AI could make that worse, or at least replicate a bad human system, because the data that it would be training on is from that bad human system,” stated Michelle Mello, a co-author of the research.
Although, Mello stated, the analysis staff discovered “real positives alongside the risks.”
In this video produced by KFF Health News’ Hannah Norman, Darius Tahir, a correspondent protecting well being expertise, explains.
You can learn Tahir’s latest protection of AI’s use by well being insurers under:
KFF Health News is a nationwide newsroom that produces in-depth journalism about well being points and is likely one of the core working applications at KFF—an impartial supply of well being coverage analysis, polling, and journalism. Learn extra about KFF.
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