AI tools are aiding therapists, doctors, and patients in navigating insurance challenges, but the power imbalance favors insurance companies. Dr. Harley Schultz, a retired physician, describes this dynamic as skewed, likening it to a “mosquito bite” for insurers rather than a fair “arms race.” While these time-saving tools show promise, Schultz believes that insurance firms will likely counter automation with their own, maintaining the status quo. He argues that if the goal were truly to provide quality care at lower costs, processing should change to address anomalous care requests rather than blanket denials. Abramson echoes this sentiment, emphasizing that regulation is key to tackling insurance denials, as companies currently face no consequences for inefficiency. He advocates for small initiatives like Fight Paperwork to influence change in the healthcare system, calling for more accountability in insurance practices to improve patient care and decrease bureaucratic hurdles.
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