4 ms·

Interesting. Do you have any examples to share?

by dpflan 2y ago

mancharface1 2y ago
Agree. I'd love to see an example of this, or read more about it.
starkparker 2y ago
This piqued my interest too. I found a few adjacent papers but couldn't find a source that made as comprehensive of a claim. The closest were: - "In constant battle with insurers, doctors reach for a cudgel: AI" from NYT (via Salt Lake Tribune), 2024 July, which is mostly on doctors using law-compliant LLMs to draft prior authorizations and has a passing one-graf mention of insurers likely doing the same: https://www.sltrib.com/news/nation-world/2024/07/11/constant-battle-with-insurers/ https://www.sltrib.com/news/nation-world/2024/07/11/constant... - "The AI arms race over your medical bill" from Politico, 2024 Jan., summarizing LLM use in coding, billing, and fraud prevention: https://www.politico.com/newsletters/future-pulse/2024/01/05/the-ai-arms-race-over-your-medical-bill-00133883 https://www.politico.com/newsletters/future-pulse/2024/01/05..., linking to https://www.politico.com/news/2023/12/31/ai-medical-expenses-00132557 https://www.politico.com/news/2023/12/31/ai-medical-expenses... and https://govciomedia.com/how-health-tech-leaders-use-ai-to-combat-fraud-2/ https://govciomedia.com/how-health-tech-leaders-use-ai-to-co... Aside from that: "Large Language Models to Help Appeal Denied Radiotherapy Services" from JCO Clinical Cancer Information, 2024 Sept. (abstract only; full-text paywalled) https://pubmed.ncbi.nlm.nih.gov/39250740/ https://pubmed.ncbi.nlm.nih.gov/39250740/ "The potential of large language models in the insurance sector", 2024 Feb. (commercial white paper), largely focused on "fraud detection" in claims: https://www.milliman.com/en/insight/potential-of-large-language-models-insurance-sector https://www.milliman.com/en/insight/potential-of-large-langu... "IQVIA NLP Risk Adjustment Solution (undated commercial white paper), marketing pitch on using AI to improve coding accuracy and reduce chart review times: https://www.iqvia.com/-/media/iqvia/pdfs/library/fact-sheets/iqvia-natural-language-processing-risk-adjustment-solution.pdf https://www.iqvia.com/-/media/iqvia/pdfs/library/fact-sheets...

Interesting. Do you have any examples to share?

by dpflan 2y ago

Interesting. Do you have any examples to share?

mancharface1 2y ago

Agree. I'd love to see an example of this, or read more about it.

starkparker 2y ago

This piqued my interest too. I found a few adjacent papers but couldn't find a source that made as comprehensive of a claim. The closest were: - "In constant battle with insurers, doctors reach for a cudgel: AI" from NYT (via Salt Lake Tribune), 2024 July, which is mostly on doctors using law-compliant LLMs to draft prior authorizations and has a passing one-graf mention of insurers likely doing the same: https://www.sltrib.com/news/nation-world/2024/07/11/constant-battle-with-insurers/ https://www.sltrib.com/news/nation-world/2024/07/11/constant... - "The AI arms race over your medical bill" from Politico, 2024 Jan., summarizing LLM use in coding, billing, and fraud prevention: https://www.politico.com/newsletters/future-pulse/2024/01/05/the-ai-arms-race-over-your-medical-bill-00133883 https://www.politico.com/newsletters/future-pulse/2024/01/05..., linking to https://www.politico.com/news/2023/12/31/ai-medical-expenses-00132557 https://www.politico.com/news/2023/12/31/ai-medical-expenses... and https://govciomedia.com/how-health-tech-leaders-use-ai-to-combat-fraud-2/ https://govciomedia.com/how-health-tech-leaders-use-ai-to-co... Aside from that: "Large Language Models to Help Appeal Denied Radiotherapy Services" from JCO Clinical Cancer Information, 2024 Sept. (abstract only; full-text paywalled) https://pubmed.ncbi.nlm.nih.gov/39250740/ https://pubmed.ncbi.nlm.nih.gov/39250740/ "The potential of large language models in the insurance sector", 2024 Feb. (commercial white paper), largely focused on "fraud detection" in claims: https://www.milliman.com/en/insight/potential-of-large-language-models-insurance-sector https://www.milliman.com/en/insight/potential-of-large-langu... "IQVIA NLP Risk Adjustment Solution (undated commercial white paper), marketing pitch on using AI to improve coding accuracy and reduce chart review times: https://www.iqvia.com/-/media/iqvia/pdfs/library/fact-sheets/iqvia-natural-language-processing-risk-adjustment-solution.pdf https://www.iqvia.com/-/media/iqvia/pdfs/library/fact-sheets...