{"id":34104,"date":"2026-04-13T23:34:04","date_gmt":"2026-04-13T23:34:04","guid":{"rendered":"https:\/\/pickbydoc.com\/?p=34104"},"modified":"2026-04-13T23:34:08","modified_gmt":"2026-04-13T23:34:08","slug":"watch-as-ai-makes-more-health-coverage-decisions-the-risks-to-patients-grow","status":"publish","type":"post","link":"https:\/\/pickbydoc.com\/?p=34104","title":{"rendered":"Watch: As AI Makes More Health Coverage Decisions, the Risks to Patients Grow"},"content":{"rendered":"<p> <br \/>\n<\/p>\n<div>\n<p class=\"meta\">\n\t\t\t\t\t\t<span class=\"byline\"><br \/>\n\t\tBy <a href=\"https:\/\/kffhealthnews.org\/news\/author\/darius-tahir\/\" target=\"_blank\" rel=\"noopener\"><strong>Darius Tahir<\/strong><\/a> and <a href=\"https:\/\/kffhealthnews.org\/news\/author\/hannah-norman\/\" target=\"_blank\" rel=\"noopener\"><strong>Hannah Norman<\/strong><\/a>\t<\/span><br \/>\n\t\t\t\t\t\t\t<time class=\"posted-on\" datetime=\"2026-04-10T05:00:00-04:00\"><br \/>\n\t\t\tApril 10, 2026\t\t<\/time>\n\t\t\t\t\t\t<\/p>\n<p>\t\t\t\t<label for=\"republish-content\" class=\"screen-reader-text\"><br \/>\n\t\t\t\t\tArticle HTML\t\t\t\t<\/label><br \/>\n\t\t\t\t<textarea id=\"republish-content\" class=\"form-control\" rows=\"5\"><br \/>\n\t<span class=\"byline\">Darius Tahir and Hannah Norman, KFF Health News<\/span><\/p>\n<p>This year, executives from nearly every major health insurance company made the same declaration in calls with Wall Street analysts: Using artificial intelligence to make coverage decisions would help save them money.<\/p>\n<p>Even the Trump administration is <a href=\"https:\/\/kffhealthnews.org\/news\/article\/ai-medicare-prior-authorization-trump-pilot-program-wiser\/\" target=\"_blank\" rel=\"noopener\">testing AI\u2019s usefulness<\/a> in managing the prior authorization process for the Medicare program, as well as seeking to override AI regulation by states.<\/p>\n<p>But class action lawsuits have accused insurers of using AI to wrongfully withhold treatment. And <a href=\"https:\/\/news.stanford.edu\/stories\/2026\/01\/ai-algorithms-health-insurance-care-risks-research\" target=\"_blank\" rel=\"noopener\">new research from Stanford University<\/a> outlines the risks of training AI on a current system rife with wrongful denials.<\/p>\n<p>\u201cThere is a world in which using AI could make that worse, or at least replicate a bad human system, because the data that it would be training on is from that bad human system,\u201d said Michelle Mello, a co-author of the study.<\/p>\n<p>Although, Mello said, the research team found \u201creal positives alongside the risks.\u201d<\/p>\n<p>In this video produced by KFF Health News\u2019 Hannah Norman, Darius Tahir, a correspondent covering health technology, explains.<\/p>\n<p>You can read Tahir\u2019s recent coverage of AI\u2019s use by health insurers below:<\/p>\n<p><\/textarea><br \/>\n\t\t\t\t<button type=\"button\" class=\"btn btn-secondary btn-sm copy-btn\" data-clipboard-target=\"#republish-content\">Copy HTML<\/button><\/p>\n<div class=\"modal-details\">\n<p>We encourage organizations to republish our content, free of charge. Here\u2019s what we ask:<\/p>\n<p>You must credit us as the original publisher, with a hyperlink to our kffhealthnews.org site. If possible, please include the original author(s) and KFF Health News\u201d in the byline. Please preserve the hyperlinks in the story.<\/p>\n<p>It\u2019s important to note, not everything on kffhealthnews.org is available for republishing. If a story is labeled \u201cAll Rights Reserved,\u201d we cannot grant permission to republish that item.<\/p>\n<p>Have questions? Let us know at <a href=\"mailto:KHNHelp@kff.org\">KHNHelp@kff.org<\/a><\/p>\n<\/p><\/div>\n<\/p><\/div>\n<p><br \/>\n<br \/><a href=\"https:\/\/kffhealthnews.org\/news\/article\/watch-ai-artificial-intelligence-prior-authorization-insurance-coverage-decisions\/\" target=\"_blank\" rel=\"noopener\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Darius Tahir and Hannah Norman April 10, 2026 Article HTML Darius Tahir and Hannah Norman, KFF Health News This year, executives from nearly every major health insurance company made the same declaration in calls with Wall Street analysts: Using artificial intelligence to make coverage decisions would help save them money. Even the Trump administration [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":34105,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[171],"tags":[],"class_list":["post-34104","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-conditions"],"jetpack_publicize_connections":[],"_links":{"self":[{"href":"https:\/\/pickbydoc.com\/index.php?rest_route=\/wp\/v2\/posts\/34104","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pickbydoc.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pickbydoc.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pickbydoc.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pickbydoc.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=34104"}],"version-history":[{"count":1,"href":"https:\/\/pickbydoc.com\/index.php?rest_route=\/wp\/v2\/posts\/34104\/revisions"}],"predecessor-version":[{"id":34106,"href":"https:\/\/pickbydoc.com\/index.php?rest_route=\/wp\/v2\/posts\/34104\/revisions\/34106"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pickbydoc.com\/index.php?rest_route=\/wp\/v2\/media\/34105"}],"wp:attachment":[{"href":"https:\/\/pickbydoc.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=34104"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pickbydoc.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=34104"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pickbydoc.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=34104"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}