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TechCrunch:AI(RSS)· TechCrunch:AI(RSS)·· 9 天前AI 评分63

Blue Cross Blue Shield 分析称医院使用 AI 已推高医疗成本

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Blue Cross Blue Shield Association 的分析称,医院在提交保险理赔时使用 AI 工具,两年内带来 9.42 亿美元额外医疗支出,患者被记录为患有复杂疾病的情况急剧增加,但实际治疗并无相应变化。纽约时报认为医院与保险公司双方都在用 AI,正加剧双方在治疗和付款上的矛盾;Abridge 创始人 Shiv Rao 则表示 AI 也可能缓解紧张并降低成本。

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Posted:

2:02 PM PDT · September 26, 2026

Stethoscope and a calendar. Doctor's appointment and service in the hospital.
Image Credits:TravelCouples / Getty Images
  • Anthony Ha

Hospitals’ use of artificial intelligence tools as they submit insurance claims led to an additional $942 million in healthcare spending over a two-year period, according to an analysis by the Blue Cross Blue Shield Association (BCBSA).

The BCBSA analysis found “a sharp increase in patients being documented as having complex conditions,” but argued there is a “clear disconnect between [medical] coding and treatment,” as there’s “no evidence of corresponding change in care delivered.”

The New York Times pointed the analysis as just the latest sign that AI is contributing to an increase in healthcare costs. While battles between hospitals and insurers over treatments and payments are nothing new, the NYT said the use of AI on both sides seems to be making it worse.

Dr. Shiv Rao, founder of AI startup Abridge, acknowledged that the use of AI could lead to “a horrible dystopic future nobody wants to live in,” with “bots fighting bots, agents fighting agents.” But Rao said it might also reduce tensions and cut costs.

And the BCBSA’s senior vice president, Luke Chalker, resisted characterizing the situation as a battle, claiming, “It’s not a war. It’s a completely one-sided blood bath,” with insurers on the losing side.

来源:TechCrunch:AI(RSS) · techcrunch.com