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giantg2 3 days ago

AI for treatment is rightfully scrutinized. AI for billing or other administrative tasks could be a big cost saver since administrative costs are a huge expense and a major factor of high consumer costs.

turtletontine 3 days ago | parent | next [-]

  AI for billing or other administrative tasks could be a big cost saver…
You’d hope so, but doubtful. More likely it’ll be health care providers using “AI”s to scheme how to charge as much as possible, and insurers using “AI” to deny claims.
creakingstairs 3 days ago | parent | next [-]

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blitzar 2 days ago | parent [-]

I LOVE THIS FOUNDER

I am a 10 out of 10

giantg2 3 days ago | parent | prev [-]

Yeah, I'm sure they'll find a way to fire lots of staff but still charge patients the same. Of course if they use the current data for training, it will result in similarly terrible outcomes.

sorcerer-mar 3 days ago | parent | prev | next [-]

Here’s how this is working in practice:

There’s a fast-growing cottage industry of companies using AI to figure out how to bill insurers “better”

And there’s a fast-growing cottage industry of companies using AI to figure out how to deny claims “better”

I see no reason to expect improvements to the patient or provider experience from this. A lot more money spent though!

dotancohen 2 days ago | parent [-]

It will be an interesting arms race. The real losers will be the human individuals, not insurers, who will have to contend with an AI when disputing claims. I have little faith that the prompt will encourage fair interpretation of (sometimes deliberately) ambiguous rules.

mac-mc 3 days ago | parent | prev | next [-]

Billing and administration feels like a made up self own tho. A lot of that crap could just... not be done, as shown with the huge expansion of administration : medical dollar ratio in the past 50 years.

consumer451 3 days ago | parent | prev | next [-]

> AI for billing or other administrative tasks could be a big cost saver

Do we really still think that "AI" is some sort of magic that does everything for everyone?

What are the alignment goals of healthcare billing AIs?

Won't it just end up with insurance conglomerates having their AIs which battle the billing admin AIs on the service provider side?

Ffs, AI is not magic! This all feels like yet another form of tech deism, hoping that some magical higher power will solve all of our problems.

I am a daily user of LLM-based dev tools, but the real definition of AI appears to be Accelerated Ignorance.

2 days ago | parent | prev | next [-]
[deleted]
heavyset_go 2 days ago | parent | prev | next [-]

Of course, one side of this is that the models will also be used adversarially against patients seeking legitimate treatment in order to squeeze more profits out of their suffering.

The other side of this is with less administrative insurance jobs, the talking point that universal healthcare will "kill insurance jobs" can finally be laid to rest, with capitalism doing that for them instead of the free healthcare boogeyman.

relchar 3 days ago | parent | prev [-]

fan of this balanced take