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保险公司称人工智能已经在推高医疗成本Insurers claim AI is already increasing healthcare costs

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根据蓝十字蓝盾协会的一项分析,医院在提交保险理赔时使用人工智能工具,导致两年内医疗支出额外增加了9.42亿美元。

Hospitals’ use of artificial intelligence tools as they submit insurance claims led to an additional $942 million in healthcare spending over a two-year period, according to an analysis by the Blue Cross Blue Shield Association.

蓝十字蓝盾协会的分析发现,被记录为患有复杂病症的患者“大幅增加”,但认为“医疗编码与治疗之间存在明显脱节”,因为“没有证据表明实际提供的医疗服务发生了相应变化”。《纽约时报》将这项分析视为人工智能推高医疗成本的最新迹象。医院与保险公司围绕治疗和付款的争斗并不新鲜,但《纽约时报》称,双方使用人工智能似乎让情况变得更糟。

The BCBSA analysis found “a sharp increase in patients being documented as having complex conditions,” but argued there is a “clear disconnect between [medical] coding and treatment,” as there’s “no evidence of corresponding change in care delivered.” The New York Times pointed the analysis as just the latest sign that AI is contributing to an increase in healthcare costs. While battles between hospitals and insurers over treatments and payments are nothing new, the NYT said the use of AI on both sides seems to be making it worse.

人工智能初创公司Abridge创始人希夫·拉奥博士承认,人工智能的使用可能导致“一个没人愿意生活的可怕反乌托邦未来”,届时会“机器人与机器人作战,智能体与智能体作战”。但拉奥说,这也可能缓解紧张局势并降低成本。

Dr. Shiv Rao, founder of AI startup Abridge, acknowledged that the use of AI could lead to “a horrible dystopic future nobody wants to live in,” with “bots fighting bots, agents fighting agents.” But Rao said it might also reduce tensions and cut costs.

蓝十字蓝盾协会高级副总裁卢克·查尔克则不愿将这种情况描述为一场斗争,并称:“这不是战争,而是一场完全一边倒的血腥屠杀。”保险公司是失败的一方。

And the BCBSA’s senior vice president Luke Chalker resisted characterizing the situation as a battle, claiming, “It’s not a war. It’s a completely one-sided blood bath,” with insurers on the losing side.