If patients and doctors start using LLMs to strategize how to maximize claim approval rate, I wonder how would the insurance companies react to it. Would it start getting more strict and start requesting for more evidence?
Not supporting nor opposing the insurance industry, just something I think the public should watch out for and understand.
The ACA tried to make health outcomes a part of the calculation for everyone involved but it is hard to compete with the all mighty dollar.
And insurers use them to minimize the list of procedures they'll accept and pay for around a given ICD-10 code.