New York Patients Face Challenges as Algorithms Control Health Care Decisions -

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In New York, the use of artificial intelligence (AI) algorithms by health insurance companies is increasingly influencing decisions about health care coverage. Over the past decade, insurers have been using these technologies not to provide treatment, but to determine which treatments they will financially support. This change has led to significant challenges for many patients attempting to obtain approval for essential care.

Role of AI in Healthcare Decisions

While doctors and hospitals utilize AI to assist in diagnosing and treating patients, insurers apply these systems primarily to evaluate claims and limit payments. This creates situations where patients might be denied coverage for treatments their healthcare providers recommend.

Concerns and Criticisms

Critics argue that these algorithms:

Can be unfair to patients.
May overlook the unique needs of individuals.
Lead to delays and denials of crucial health services.

These issues pose a serious risk to patient health due to compromised care.

Calls for Transparency and Regulation

Experts emphasize the need for:

Transparency in how AI algorithms function.
Increased human oversight in decision-making processes.
Stronger regulations and safeguards to ensure fair patient treatment.

The growing use of AI in healthcare insurance promises greater efficiency but also raises important concerns about patient access to care. Advocates encourage proactive steps to prevent potential harm from automated decisions and promote equity in healthcare coverage.

Stay tuned for more updates from Questiqa USA.