Washington state Medicare users could soon have claims denied by AI
31 points
6 hours ago
| 2 comments
| kuow.org
| HN
taurath
4 hours ago
[-]
> AI companies will be paid a portion of the savings from claims they deny or, as the Wasteful and Inappropriate Service Reduction plan puts it, “compensated based on a share of averted expenditures.”

Maybe someone who’s really good at Markets and Incentives can tell us all what might happen here.

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anonymous908213
3 hours ago
[-]
In other words, this isn't even a cost-saving measure. They are now paying money to deny claims. Instead of paying money to provide healthcare, they instead pay money to third-party administrators who promise they won't actually do administrative work but instead outsource life-ruining decisions to an automated script. It is hard to come away from this without thinking that humanity is fundamentally evil, and that everyone involved in this should be treated like French royalty.
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teeray
2 hours ago
[-]
Here’s the AI. I’ll take my billions in investment please:

```

func reviewClaim(claim *Claim) ClaimStatus {

  return StatusDenied
}

```

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