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Doctors weaponize AI in insurance battles over patient care authorizations
Physicians are pushing back against automatic denials from healthcare insurance providers by allowing AI tools to write their appeals.
Jha, who is also a professor of Health Services, Policy and Practices at Brown and served as the White House COVID-19 response coordinator in 2022 and 2023, said that while prior authorization has been a major issue for decades, only recently has AI been used to “turbocharge it” and create batch denials. Dr. Amit Phull, chief physician experience officer for Doximity, which sells a platform with a HIPAA-compliant version of ChatGPT, said the company’s tech can drastically reduce the time clinicians spend on administrative work. And more than one-third of physicians surveyed by the AMA said prior authorization fights have led to serious adverse outcomes for patients in their care, including avoidable hospitalizations, life-threatening events, permanent disabilities, and even death.
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