Watch: As AI Makes More Health Coverage Decisions, the Risks to Patients Grow
This year, executives from nearly every major health insurance company made the same declaration in calls with Wall Street analysts: Using artificial intelligence to make coverage decisions would help save them money.
Even the Trump administration is in managing the prior authorization process for the Medicare program, as well as seeking to override AI regulation by states.
But class action lawsuits have accused insurers of using AI to wrongfully withhold treatment. And outlines the risks of training AI on a current 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, said Michelle Mello, a co-author of the study.
Although, Mello said, the research team found real positives alongside the risks.
In this video produced by 窪蹋勛圖厙 News Hannah Norman, Darius Tahir, a correspondent covering health technology, explains.
You can read Tahirs recent coverage of AIs use by health insurers below:
- , by Darius Tahir and Lauren Sausser.
- , by Lauren Sausser and Darius Tahir.