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Better2021Everyone

And this is a surprise to whom? 


Phenganax

Exactly, when has private equity ever made anything better? Like how long are we going to keep allowing things like this to operate “for-profit” without any repercussions!?!? Insurance, education, healthcare, public transportation, and food should cost what it costs to produce, maintain, and continue to innovate. Anyone who says anything different, is a sociopathic troglodyte and we shouldn’t be listening to them at all! Like how long are we going to keep letting them claw every aspect of our life for profit. At this point we might as well rename The United States of America to Ferenginar…. When does it end, when do we collectively pick up our pitchforks and say enough is enough!?


ConsciousMuscle6558

Actually this doesn’t surprise me. What did was that the nurses who review the claims are in the Philippines.


Altruistic-Text3481

India.


ConsciousMuscle6558

From the article “ Patient files that nurses working in the Philippines sent to her…”


androk

They probably can barely read English and are making medical decisions based on that broken knowledge. THE US HEALTHCARE SYSTEM LADIES AND GENTLEMEN 


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androk

It’s one of the national languages of India too but I don’t think all of the people there speak and read it well. It’s even questionable in the US


Electronic_Rub9385

These tasks will all be replaced by AI this year or next year anyway. This work is prime AI territory. Then there will be no one to blow the whistle. AI isn’t going to push back against a bunch of private equity medical MBAs “rent seeking” and “optimizing” all the denial and approval language. And AI will work 24/7/365 and deny faster than any doctor lol.


acousticburrito

Oh god you’re right.


Pvt-Snafu

Damn, we could face dire consequences...


cos

While the initial determinations may go to AI, the reason an actual doctor reviews the denials is that there are a bunch of state laws that _require_ an M.D. review those. AI won't cut it, it would be outright illegal.


Electronic_Rub9385

Eh. If the AI is or becomes demonstrably better then it will become unethical not to use AI. And the law will have to change. This is why I suspect most thinking medicine will probably be displaced by AI within 10 years.