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AI for treatment is rightfully scrutinized. AI for billing or other administrative tasks could be a big cost saver since administrative costs are a huge expense

AI for treatment is rightfully scrutinized. AI for billing or other administrative tasks could be a big cost saver since administrative costs are a huge expense and a major factor of high consumer costs.

turtletontine 1y ago
AI for billing or other administrative tasks could be a big cost saver… You’d hope so, but doubtful. More likely it’ll be health care providers using “AI”s to scheme how to charge as much as possible, and insurers using “AI” to deny claims.
- giantg2 1y ago
  Yeah, I'm sure they'll find a way to fire lots of staff but still charge patients the same. Of course if they use the current data for training, it will result in similarly terrible outcomes.
- creakingstairs 1y ago
  """ Luminae AI Hack Your Medical Account Receivables Luminae AI accurately predicts your uninsured patient's asset values so that you can quickly write off bad debts and only chase those with high asset values. Luminae AI will increase your net collection rate by at least 15%. "It's a game changer, we've increased our gross collection rate by 30%. We've also started a new business to flip foreclosed homes nearby." - John Smith """ BRB applying to YC
  - blitzar 1y ago
    I LOVE THIS FOUNDER I am a 10 out of 10
sorcerer-mar 1y ago
Here’s how this is working in practice: There’s a fast-growing cottage industry of companies using AI to figure out how to bill insurers “better” And there’s a fast-growing cottage industry of companies using AI to figure out how to deny claims “better” I see no reason to expect improvements to the patient or provider experience from this. A lot more money spent though!
- dotancohen 1y ago
  It will be an interesting arms race. The real losers will be the human individuals, not insurers, who will have to contend with an AI when disputing claims. I have little faith that the prompt will encourage fair interpretation of (sometimes deliberately) ambiguous rules.
relchar 1y ago
fan of this balanced take
mac-mc 1y ago
Billing and administration feels like a made up self own tho. A lot of that crap could just... not be done, as shown with the huge expansion of administration : medical dollar ratio in the past 50 years.
consumer451 1y ago
> AI for billing or other administrative tasks could be a big cost saver Do we really still think that "AI" is some sort of magic that does everything for everyone? What are the alignment goals of healthcare billing AIs? Won't it just end up with insurance conglomerates having their AIs which battle the billing admin AIs on the service provider side? Ffs, AI is not magic! This all feels like yet another form of tech deism, hoping that some magical higher power will solve all of our problems. I am a daily user of LLM-based dev tools, but the real definition of AI appears to be Accelerated Ignorance.
heavyset_go 1y ago
Of course, one side of this is that the models will also be used adversarially against patients seeking legitimate treatment in order to squeeze more profits out of their suffering. The other side of this is with less administrative insurance jobs, the talking point that universal healthcare will "kill insurance jobs" can finally be laid to rest, with capitalism doing that for them instead of the free healthcare boogeyman.
deleted 1y ago
[deleted]

turtletontine 1y ago

AI for billing or other administrative tasks could be a big cost saver… You’d hope so, but doubtful. More likely it’ll be health care providers using “AI”s to scheme how to charge as much as possible, and insurers using “AI” to deny claims.

giantg2 1y ago
Yeah, I'm sure they'll find a way to fire lots of staff but still charge patients the same. Of course if they use the current data for training, it will result in similarly terrible outcomes.
creakingstairs 1y ago
""" Luminae AI Hack Your Medical Account Receivables Luminae AI accurately predicts your uninsured patient's asset values so that you can quickly write off bad debts and only chase those with high asset values. Luminae AI will increase your net collection rate by at least 15%. "It's a game changer, we've increased our gross collection rate by 30%. We've also started a new business to flip foreclosed homes nearby." - John Smith """ BRB applying to YC
- blitzar 1y ago
  I LOVE THIS FOUNDER I am a 10 out of 10

sorcerer-mar 1y ago

Here’s how this is working in practice: There’s a fast-growing cottage industry of companies using AI to figure out how to bill insurers “better” And there’s a fast-growing cottage industry of companies using AI to figure out how to deny claims “better” I see no reason to expect improvements to the patient or provider experience from this. A lot more money spent though!

dotancohen 1y ago
It will be an interesting arms race. The real losers will be the human individuals, not insurers, who will have to contend with an AI when disputing claims. I have little faith that the prompt will encourage fair interpretation of (sometimes deliberately) ambiguous rules.

relchar 1y ago

fan of this balanced take

mac-mc 1y ago

Billing and administration feels like a made up self own tho. A lot of that crap could just... not be done, as shown with the huge expansion of administration : medical dollar ratio in the past 50 years.

consumer451 1y ago

> AI for billing or other administrative tasks could be a big cost saver Do we really still think that "AI" is some sort of magic that does everything for everyone? What are the alignment goals of healthcare billing AIs? Won't it just end up with insurance conglomerates having their AIs which battle the billing admin AIs on the service provider side? Ffs, AI is not magic! This all feels like yet another form of tech deism, hoping that some magical higher power will solve all of our problems. I am a daily user of LLM-based dev tools, but the real definition of AI appears to be Accelerated Ignorance.

heavyset_go 1y ago

Of course, one side of this is that the models will also be used adversarially against patients seeking legitimate treatment in order to squeeze more profits out of their suffering. The other side of this is with less administrative insurance jobs, the talking point that universal healthcare will "kill insurance jobs" can finally be laid to rest, with capitalism doing that for them instead of the free healthcare boogeyman.

deleted 1y ago

[deleted]