Washington state Medicare users could soon have claims denied by AI | Hacker News Reader

Washington state Medicare users could soon have claims denied by AI

kuow.org

40 pointscoloneltcb5 comments

> 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.

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.

Marie would still be ruling _today_ if only they’d captured Fox News in their day

If you think about it, the purpose of any insurance claims systems must be to find reasons to deny your claim, otherwise it is by default approved. Thus I expect AI hallucinating “rules” will generate some interesting class-action lawsuits. I just hope nobody dies from it.

Here’s the AI. I’ll take my billions in investment please:

```

func reviewClaim(claim *Claim) ClaimStatus {

  return StatusDenied

}

```

Reply on news.ycombinator.com