Hospital AI Found $942 Million in New Diagnoses. Blue Cross Says the Patients Got No Extra Treatment.
Hospitals are using AI to scan charts for billable conditions. The Blue Cross Blue Shield Association says coding changes added $942 million to its plans in two years, more than $650 million of it from secondary diagnoses — while treatment stayed flat. Hospitals that coded the most anemia transfused those patients less. The American Hospital Association calls it insinuation and points at insurers’ own automated downcoding. Now Michigan’s House Speaker wants to ban AI on both sides.
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