Medicare patients in half a dozen states will have some of their health claims automatically reviewed by AI models.
  • darkdemize@sh.itjust.works
    33·
    6 days ago

    And this doesn’t seem like a perverse incentive to anyone approving this arrangement? Fuck it, I’ve got an AI that will automatically reject 100% of claims and it’s got minimal overhead.

    • A_norny_mousse@feddit.org
      19·
      6 days ago

      Unless the law changes, these companies won’t. You can kill half their CEOs, it won’t change how they operate.

      Wait, this is about Medicare, government-backed healthcare. JFC.

  • bacon_pdp@lemmy.world
    10·
    5 days ago

    Guess they are going to learn what the state of Michigan learned when they paid SAS over 6 million dollars a year for fraud detection. The false positives rates on that shit is through the roof and the false negatives swallowed up all of the theoretical gains because honestly you can catch 99.97% of Medicare fraud by just basic analysis, about 13 carefully made SQL queries and 4 people who then go out and do legitimate detective work.