Hospital AI battles insurer AI in payer vs provider battle
Hospital AI battles insurer AI in payer vs provider battle
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Hospital AI battles insurer AI in payer vs provider battle

🕒︎ 2025-10-31

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Hospital AI battles insurer AI in payer vs provider battle

Health insurance companies are fighting fire with fire as they combat rising medical costs they say are being driven up, in part, by artificial intelligence. Large private insurers have continued to call out purportedly overzealous coding and billing as a source of ballooning health care costs. In particular, some have blamed the use of AI tools for some of the surge in claims from health care providers that have cut into their profits. “I’ve talked to a couple of my peers where it does seem like the hospitals have gotten better organized around the application of AI for coding than payers,” said Centene chief financial officer Andrew Asher at the Deutsche Bank Healthcare Summit last month. “But we’re going to catch up to that.”

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