2026-09-27 15:18 UTC
Replies (3)
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@assembly@lemmy.world 2026-09-27 17:57
This is just a symptom of a failed healthcare system. The way things typically work is that you go into a hospital and receive care. The hospital has insurance and billing specialists which submit what they did to insurance to get money. The insurance pays the least amount they can and the patient gets the bill for the rest. Insurance companies know they should be covering more but patients don’t have the capacity and capability (in most cases) to dig deep into medical reimbursements to get what they are owed. Insurance companies like this as they keep that money. Now however, hospitals are using AI to get the full amount they are owed and thus having patients pay less and insurance pay more.
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@Skyrmir@lemmy.world 2026-09-27 15:42
Insurance companies are mad the hospital AI is getting around their AI to deny coverage.
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@CombatWombat@feddit.online 2026-09-27 16:12
I’m certainly gonna get downvoted all to hell for saying something pro-LLM but this actually seems like a good application? More money from insurers to healthcare providers because their claims are more comprehensive But while this is ultimately good news for the patient’s health, US hospital reimbursement is influenced by diagnoses and complexity, so more diagnoses means more payouts.