Medicare patients in half a dozen states will have some of their health claims automatically reviewed by AI models.
    • NatakuNox@lemmy.worldEnglish
      38·
      7 months ago

      The fact that there’s shares to be had for denying care is crazy. They know denying care is their business! Meaning that the money they didn’t spend on your care doesn’t go back into the pot for everyone in your group, they are pocketing some of the money whenever they deny someone. That’s it. They don’t help anyone but themselves. There should be a requirement that insurance companies publicly announce how much money they made from denying care

  • D_C@sh.itjust.worksEnglish
    471·
    7 months ago

    Well I’m sure it’ll be all fair and definitely not
    DENIED
    DENIED
    DENIED
    DENIED
    DENIED CHACHING
    DENIED CHACHING
    CHACHING
    CHACHING
    CHACHING

    Oh no, that’ll deffo not happen. No way!!!

    • ameancow@lemmy.worldEnglish
      8·
      7 months ago

      That’s the best possible outcome.

      The more likely outcome is a lot of people are going to die or suffer needlessly.

  • kent_eh@lemmy.caEnglish
    25·
    7 months ago

    Is there a name for the next step beyond perverse incentives?

    Because that’s where we are now.

  • buddascrayon@lemmy.worldEnglish
    21·
    7 months ago

    Officials assert that the AI tools will only be used to judge claims for about a dozen different types of procedures it deems to be wasteful and providing little benefit, including steroid shots to relieve pain, per the NYT.

    Yeah cause people on medicare aren’t likely to need steroid shots for things like joint pain or anything. Anyone 65 and older should start saving their money now to pay for their steroid shots that are going to start costing them a couple hundred bucks a pop.

  • TuffNutzes@lemmy.worldEnglish
    20·
    7 months ago

    So bribe the private sector to deny all claims routed through them first for government healthcare and then claim ‘gUbmEnT dEAtH pANEls!’ are the problem.

    • humanspiral@lemmy.caEnglish
      1·
      7 months ago

      So bribe the private sector to deny all claims routed through them first

      The AI models getting paid most the most they deny is private sector grift built in here.

  • billwashere@lemmy.worldEnglish
    19·
    7 months ago

    You don’t need AI for that….

    
#!/usr/bin/env python3

def main():
    try:
        _ = input("Enter reasoning for claim: ")  # read but ignore the input
        print("denied")                # always respond "denied"
    except (EOFError, KeyboardInterrupt):
        # Even if input is interrupted, still respond "denied"
        print("denied")

if __name__ == "__main__":
    main()
    • buddascrayon@lemmy.worldEnglish
      14·
      7 months ago

      This is the point. They want to erase any legacy either of them left. Trump is a petty little asshole who is still mad that Obama made fun of him once.

  • chunes@lemmy.worldEnglish
    17·
    7 months ago

    If it makes anyone feel better, they denied everything when it was humans running the show too

    • ameancow@lemmy.worldEnglish
      41·
      7 months ago

      I know insurance adjusters, they are under strict rules but whenever they get a chance they do try to approve benefits if it comes to a matter of personal decision making. It’s not that often, but it does happen in the loads and loads of cases that pass through every day.

      Few people realize the scale of these operations.

      An AI system can process all those claims in moments and not only follow guidelines to deny as many as possible, they will do it without feeling a twinge of conscience, and this seemingly small margin of extra denials will likely save the insurance company vast sums of wealth, and all it will cost us, the paying customers, is needless death and suffering.