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.
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.
Luminae AI accurately predicts your uninsured patient's asset values so that you can quickly write off bad debts and only chase those with high asset values. Luminae AI will increase your net collection rate by at least 15%.
"It's a game changer, we've increased our gross collection rate by 30%. We've also started a new business to flip foreclosed homes nearby."
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.
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.
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.
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.
