It's even worse with some physicians. When I got an MRI a year or two ago, getting an AI diagnosis cost extra. I am very positive about AI, but I can understand why people would be hesitant to pay extra when they hear about false positives and the unreliability of AI.
Are there even any FDA labeled AI diagnostics for MRI? Just about everything I've seen is more things that are meant to help radiologists do things faster (and it's rather debatable whether they ultimately achieve that). The things I've seen gaining traction are very specific measurements (that are not themselves diagnostic) or things that improve workflow.
New analysis from the Blue Cross Blue Shield Association (BCBSA) finds that hospital systems are increasingly billing patient hospital stays as more medically complex, driving nearly $1 billion in additional healthcare costs in just two years. [...]
More than 60% of hospital systems are now using AI-enabled technologies that can scan lab results and electronic records to identify secondary diagnoses, which could move a patient into a higher-severity, higher-reimbursement billing category.
That…doesn’t sound like a bad thing for patients? That sounds like an increase in the standard of care. I’m not surprised a health insurer is mad about it though
Upcoding is a tale as old as time (and one of UHG's main tactics for making truckloads of money), but this does seem new and interesting.
Like, obviously only a doctor can diagnose. But, they can use technology to help them look at problems, including AI (literally the most versatile pattern matching software we have, just in natural language and at with lower success rates). And they can make their own judgement call on if what the tool output is saying is correct.
However, if a Doctor were to see a bogus secondary diagnosis on their screen, and then dismiss it, they're opening themself up to medical malpractice liability, no? Like, it seems like the safest option would be to run (and bill for) the extra tests to confirm if the AI's story is true or untrue.
Setting aside the unreliability of AI, healthcare is already expensive and confusing. It's hard to know what's covered or not ahead of time and it sucks to feel nickel and dimed on something that is already so expensive, especially when you consider we are not trained medical professionals, so we can't really have an informed opinion on what this is really worth...
Always ask for your imaging data. I have never been denied it. Then take that and run it through your own analysis. Years ago I had some lab work done looking for a specific genetic marker that could explain something. While that was running I took my 23andme genome and cross referenced it with snpedia and had my answer (didn't have the marker) before my doctor did. She was blown away. This was 10 years ago. I'm guessing things have improved quite a bit.
I'm sure many law companies have a trillion spare to invest in data centres. I don't think anyone would be upset if AI broke the standard charges for lawyer fees.
The issue is that communications with A.I. are not privileged like client-attorney. There was some judge that made that ruling.
Feels like a conflict of interests to me, I'd guess friends, neighbors, children and nieces of that judge enjoying their livelihood by charging for legal services. While legal services are now available under substantially lower rates and with a lot fewer conflicts of interests from A.I. providers...
But, if you were to represent yourself, are your journal entries about said case privileged? Can the opposition call into evidence a binder of legal strategies you created that morning before court?
At what point does it become a 5th amendment issue? Maybe when we get AI in our corneas a la Black Mirror's The Entire History of You?
So… if AI is reducing time taken for billable actions, then that reduces the cost no? Unless it’s not actually reducing the time spent on said actions.
My experience with lawyers is that if you need a legal document, they often have templates ready to go and will take 10 seconds to find & replace your company name into the document. I know this because they often don’t proofread it afterwards. They then charge you $1000 for that 10 seconds of work. Given that I have felt ripped off by many lawyers, I’m totally fine with that industry getting disrupted.
I feel this is the case for a lot of industries (and even a lot of productivity-enhancers, beyond AI).
I remember a much slower change where software slowly ate away the work of property managers. Especially convenient was the ability for the tenant to perform the 6-monthly inspection remotely by uploading a half-dozen photos per room, taking just 15 minutes or so rather than waiting around for several hours for a physical meet up with the property manager. Software also allowed rent payments to be easily automated, collated and monitored.
But I don't think the number of property managers decreased, nor the price that landlords paid for their services.
It's even worse with some physicians. When I got an MRI a year or two ago, getting an AI diagnosis cost extra. I am very positive about AI, but I can understand why people would be hesitant to pay extra when they hear about false positives and the unreliability of AI.
Yep one imaging center in LA is charging $45 out of pocket for the AI diagnosis.
can you say no to an AI diagnosis in that case?
Yes, sorry should have mentioned that. Of course the easy solution is then to simply decline.
Are there even any FDA labeled AI diagnostics for MRI? Just about everything I've seen is more things that are meant to help radiologists do things faster (and it's rather debatable whether they ultimately achieve that). The things I've seen gaining traction are very specific measurements (that are not themselves diagnostic) or things that improve workflow.
Additionally, BCBS reports that hospitals are using AI to find ways to charge more money: https://www.bcbs.com/about-us/association-news/bcbsa-analysi...
That…doesn’t sound like a bad thing for patients? That sounds like an increase in the standard of care. I’m not surprised a health insurer is mad about it though
Upcoding is a tale as old as time (and one of UHG's main tactics for making truckloads of money), but this does seem new and interesting.
Like, obviously only a doctor can diagnose. But, they can use technology to help them look at problems, including AI (literally the most versatile pattern matching software we have, just in natural language and at with lower success rates). And they can make their own judgement call on if what the tool output is saying is correct.
However, if a Doctor were to see a bogus secondary diagnosis on their screen, and then dismiss it, they're opening themself up to medical malpractice liability, no? Like, it seems like the safest option would be to run (and bill for) the extra tests to confirm if the AI's story is true or untrue.
Setting aside the unreliability of AI, healthcare is already expensive and confusing. It's hard to know what's covered or not ahead of time and it sucks to feel nickel and dimed on something that is already so expensive, especially when you consider we are not trained medical professionals, so we can't really have an informed opinion on what this is really worth...
Always ask for your imaging data. I have never been denied it. Then take that and run it through your own analysis. Years ago I had some lab work done looking for a specific genetic marker that could explain something. While that was running I took my 23andme genome and cross referenced it with snpedia and had my answer (didn't have the marker) before my doctor did. She was blown away. This was 10 years ago. I'm guessing things have improved quite a bit.
Well we’ve spent over a trillion on infrastructure and we’re only just getting started so good luck getting your fucking discount
I'm sure many law companies have a trillion spare to invest in data centres. I don't think anyone would be upset if AI broke the standard charges for lawyer fees.
I’m just waiting for the AI judgments, followed by the flash trials, followed by the flash litigation DDOS attacks.
https://www.youtube.com/watch?v=XL2RLTmqG4w
Australia already has AI tax judgements:
https://en.wikipedia.org/wiki/Robodebt_scheme
https://archive.is/dmUuD
The issue is that communications with A.I. are not privileged like client-attorney. There was some judge that made that ruling.
Feels like a conflict of interests to me, I'd guess friends, neighbors, children and nieces of that judge enjoying their livelihood by charging for legal services. While legal services are now available under substantially lower rates and with a lot fewer conflicts of interests from A.I. providers...
They ruled that it's like a journal, or a tool like a search engine. This seems fair.
But, if you were to represent yourself, are your journal entries about said case privileged? Can the opposition call into evidence a binder of legal strategies you created that morning before court?
At what point does it become a 5th amendment issue? Maybe when we get AI in our corneas a la Black Mirror's The Entire History of You?
That's basically like devs being 10x with AI - they ain't getting a raise for that..
So… if AI is reducing time taken for billable actions, then that reduces the cost no? Unless it’s not actually reducing the time spent on said actions.
My experience with lawyers is that if you need a legal document, they often have templates ready to go and will take 10 seconds to find & replace your company name into the document. I know this because they often don’t proofread it afterwards. They then charge you $1000 for that 10 seconds of work. Given that I have felt ripped off by many lawyers, I’m totally fine with that industry getting disrupted.
Law firms are going to be rolled over by AI. The inefficient law firms will be replaced. Like Expedia, etc. did to travel agents.
I feel this is the case for a lot of industries (and even a lot of productivity-enhancers, beyond AI).
I remember a much slower change where software slowly ate away the work of property managers. Especially convenient was the ability for the tenant to perform the 6-monthly inspection remotely by uploading a half-dozen photos per room, taking just 15 minutes or so rather than waiting around for several hours for a physical meet up with the property manager. Software also allowed rent payments to be easily automated, collated and monitored.
But I don't think the number of property managers decreased, nor the price that landlords paid for their services.
AI is just a tool like everything else. Are you also going to ask me for a discount because I used a powered screw driver?
Yes, because I'm expecting you to compete.