保险公司称 AI 已在推高医疗成本
Insurers claim AI is already increasing healthcare costs
Blue Cross Blue Shield Association 的分析显示，医院在提交保险理赔时使用 AI 工具，两年间导致医疗支出增加 9.42 亿美元。该分析发现被记录为患有复杂疾病的患者数量急剧上升，但认为医疗编码与治疗之间存在明显脱节，没有证据表明实际提供的护理有相应变化。纽约时报称这是 AI 推高医疗成本的最新迹象，AI 创业公司 Abridge 创始人 Shiv Rao 承认 AI 可能带来智能体互斗的局面，但也可能降低成本。
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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 .
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.
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.
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.