Health insurers use AI to deny certain claims and maximize their profits, a Senate report suggests. Hospitals around the country are struggling to fight back.

Summary

Hospitals are reporting an increase in insurance denials, particularly for Medicare Advantage plans, which are allegedly being targeted by AI algorithms.

These denials have led to delays in patient care and increased administrative burden for hospitals.

The Senate has called out the use of AI in prior authorization, suggesting it may be used to deny care and drive down costs.