A pilot program testing the use of artificial intelligence to expand prior authorization decisions in Medicare has providers, politicians and researchers asking questions.
Yeah the difference between reality and corporate greed is as someone who works with various flavors of ai, they absolutely could help insurers lower costs without impacting customers. In this ideal world the AI would only be used to approve claims. Most claims are approved so why are we wasting an adjuster’s time when we can just make it so? Most cases could sale through smoothly with no human intervention. Then fewer adjusters could spend more time on more complex cases. Win-win. Of course in the real world we know corporate greed will focus on denying as many claims as possible
Yeah the difference between reality and corporate greed is as someone who works with various flavors of ai, they absolutely could help insurers lower costs without impacting customers. In this ideal world the AI would only be used to approve claims. Most claims are approved so why are we wasting an adjuster’s time when we can just make it so? Most cases could sale through smoothly with no human intervention. Then fewer adjusters could spend more time on more complex cases. Win-win. Of course in the real world we know corporate greed will focus on denying as many claims as possible