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The CEO was minding his own businesss, putting his head down and getting busy to use the SOTA AI and other technologies to dslover the most efficient way to dec
by eptcyka 2y ago
The CEO was minding his own businesss, putting his head down and getting busy to use the SOTA AI and other technologies to dslover the most efficient way to decline healthcare for people paying for it. Sure, some fraud was prevented, at the cost of denying service for people in legitimate need, surely causing premature death in some cases. He might only wanted to make the line go up, but that does not relieve him of his responsibility.
- wakawaka28 2y agoMaybe he just bought into the AI hype as so many other business leaders are. Any kind of fraud prevention method is going to have false positives and associated costs, and in health insurance it can cost lives. But not handling fraud also costs lives by making insurance more expensive. If people just trying to do their best to manage a business and its customers are murdered over honest mistakes then nobody is going to want to run such a system. The fact it's an insurance company is not relevant. A government-run system could involve the same kind of mistakes. Doctors themselves make a lot of potentially questionable choices that may be seen as costing lives. We have a fairly high bar for proving malpractice because any given patient could choose to blame the doctor personally. A business guy who is not egregiously messing things up on purpose or through gross negligence deserves some benefit of the doubt as well.
- eptcyka 2y ago[flagged]
- ars 2y agoThis is simply not true. Denying claims does NOT increase insurance company profits, it actually DECREASES it. Read this thread I posted: https://news.ycombinator.com/item?id=42642405 https://news.ycombinator.com/item?id=42642405