Executives from nearly all major health insurers have stated to Wall Street analysts that employing artificial intelligence to determine coverage could reduce expenses. The Trump administration is also exploring AI’s effectiveness in managing Medicare’s prior authorization process and aims to preempt state regulations on AI use.
However this ignores the dark-side of AI’s use in medical insurance. Class action lawsuits claim that insurers misuse AI to unjustly deny treatments, and recent research from Stanford University highlights the danger of training AI on a flawed system known for wrongful denials. Michelle Mello, a co-author of the study, explained that such AI might perpetuate existing errors since it learns from biased data, though the team also identified potential benefits.
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