根据蓝十字蓝盾协会(Blue Cross Blue Shield Association)的一项分析,医院在提交保险索赔时使用人工智能工具,导致在两年内增加了9.42亿美元的医疗保健支出。
BCBSA的分析发现,“被记录为患有复杂疾病的患者数量急剧增加”,但认为医疗“编码与治疗之间存在明显的脱节”,因为“没有证据表明所提供的护理发生了相应变化”。
《纽约时报》指出,该分析只是最新迹象之一,表明人工智能正在推动医疗成本的上升。虽然医院与保险公司之间关于治疗方式和付款的争斗由来已久,但《纽约时报》称,双方使用人工智能似乎使这一情况恶化了。
AI初创公司Abridge的创始人Shiv Rao承认,人工智能的使用可能导致“一个谁都不想生活的可怕反乌托邦未来”,出现“机器人对抗机器人、代理对抗代理”的局面。但Rao表示,它也可能缓解紧张局势并降低成本。
而BCBSA的高级副总裁Luke Chalker抵制将这种情况描述为一场战斗,他声称:“这不是一场战争。这是一场完全一边倒的屠杀,保险公司处于失败的一方。”
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.
首次收录 · 2026-09-27 · 12.92 分