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Hospital A.I. vs Insurer A.I. Raises Health Costs

scienceSep 24, 202617502

The New York Times reports that hospitals are deploying A.I. to code patients as sicker while health insurers are using A.I. tools to delay or deny care, and that dynamic is pushing medical costs higher. Hospitals have begun adding secondary diagnoses such as anemia and other complications, which one industry example tied to A.I.-augmented coding raised payments by an average of nearly $12,000 per case. Insurers meanwhile deploy A.I. in prior authorization and claims-review workflows that advocacy groups say increase denials and slow access to care. Labor group National Nurses United is campaigning for major systems to cut ties with Palantir and other analytics vendors, and protesters reportedly blocked access to an AI health summit this week, with more than 20 arrests. Health-policy observers warn that without shared clinical standards and changes to incentives, the hospital-versus-insurer A.I. arms race will sustain higher prices and slower patient access to treatment.

Raider
@iwillnotbesilenced.bsky.social

20+ PEOPLE HAVE BEEN ARRESTED BLOCKING THE ROAD TO THE AI HEALTH SUMMIT, where healthcare CEOs and tech billionaires are rolling out the red carpet for Palantir-backed healthcare. 72 floors above them, healthcare executives are gathering to talk about Al, hospital profits, and the future of our care

40014h ago
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