Hospitals utilizing artificial intelligence tools while submitting insurance claims have seen healthcare costs rise dramatically, adding an estimated $942 million over two years, as highlighted in a new report by the Blue Cross Blue Shield Association (BCBSA).
The BCBSA’s findings indicate a notable uptick in patients classified as having complex medical conditions. However, they expressed concerns regarding a significant disconnect between medical coding practices and the actual treatment provided, noting that there is “no evidence of corresponding change in care delivered.”
According to a report by The New York Times, this analysis represents yet another indication that AI is driving up healthcare costs. The ongoing conflicts between hospitals and insurers over treatment protocols and payment issues are not new, but the introduction of AI technologies on both fronts appears to be exacerbating the situation.
Dr. Shiv Rao, founder of the AI venture Abridge, cautioned that while the use of AI could lead to an undesirable scenario characterized by “bots fighting bots,” he also suggested that it has the potential to alleviate tensions and reduce expenses.
In a related statement, Luke Chalker, senior vice president at BCBSA, refrained from labeling the ongoing situation as a conflict, asserting instead that it resembles “a completely one-sided blood bath,” with insurers finding themselves at a disadvantage.
Editor’s Take
This development underscores a growing concern regarding the integration of AI in healthcare. While AI holds the promise of efficiency, its influence on cost increases raises questions for insurers and patients alike. Stakeholders must navigate the balance between technological advancement and sustainable healthcare practices, ensuring that improvements in efficiency do not come at the expense of escalating costs.
Source: techcrunch.com
