Wednesday, August 27, 2025

Why AI Doctors Won’t Operate Without Compensation

Revolutionizing Healthcare: The Role of AI in Care Delivery

In our rapidly evolving world, AI technology is transforming healthcare, but the payment systems lag behind innovation. Here’s a glimpse into the challenges and opportunities:

  • Current State of AI in Healthcare: AI models have shown the potential to outperform human physicians in routine tasks. Yet, we see a gap in deployment, especially as payment structures inhibit progress.

  • The Payment Puzzle:

    • Most healthcare payments flow from insurers, and the existing CPT codes don’t accommodate AI-driven services effectively.
    • The complexity of labor-based pricing penalizes AI efficiency, raising critical questions about future reimbursement models.
  • Vision for Change:

    • We need innovative payment frameworks that support AI-native care, such as pilot programs from the CMS Innovation Center (CMMI).
    • A focus on value, real-world data evaluation, and patient choice could revolutionize care delivery.

Let’s advocate for a healthcare system that embraces AI. Share your thoughts in the comments and help spark a discussion on this vital topic!

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