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Some detailed HMO history here, followed by lots of insider detail (parts 2 and 3) on how HMOs are using AI to dominate the healthcare system. "Hospitals saw,
by scripthacker 6y ago
Some detailed HMO history here, followed by lots of insider detail (parts 2 and 3) on how HMOs are using AI to dominate the healthcare system.
"Hospitals saw, in some cases, a doubling of claims denials or “repricing” in just a 12 to 18-month period after 2016 based on these automated” reviews. This surge of machine-driven denials played a major role in the mysterious 39% plummet in hospital operating earnings"