Marilyn Heine Profile picture
Physician Leader. Tenacious Advocate. Enthusiastic Mentor. Champion for physicians, patients, public health, and the patient-physician relationship.

Feb 25, 6 tweets

🔥 From AMA:

“Many physicians fear the #healthinsurance industry’s use of unregulated #artificialintelligence (#AI) automation and predictive technologies will increasingly override good medical judgment and systematically deny #patients coverage for necessary #medicalcare. “🧵

2/ “According to a new survey from @AmerMedicalAssn, 3️⃣ in 5️⃣ physicians (61%) are concerned that health plans’ use of AI is increasing prior auth denials, exacerbating avoidable patient harms and escalating unnecessary waste now and into the future.”

👉 tinyurl.com/mt2h7ded

@AmerMedicalAssn 3/ “Burdensome #priorauthorization requirements that conflict with evidence-based clinical practices & create hurdles to patient access to safe, timely, & affordable treatment have been a major impediment to patient care for decades.”

Read @PresAmerMed statement⤵️

#FixPriorAuth

@AmerMedicalAssn @PresAmerMed 4/❗️“More recently, health insurers have turned to AI decision-making tools that generate prior auth decisions w/ little or no human review. These AI tools have been accused of producing high rates of care denial—in some cases, 16X higher than is typical.”
tinyurl.com/mrxzswuv

@AmerMedicalAssn @PresAmerMed 5/ “…AMA firmly believes that AI must augment decision-making; be referred to as ‘augmented intelligence,’ and not remove humans from patient care, coverage, or treatment.”

“…AMA policy identifies significant concerns with insurer use of AI.”

tinyurl.com/3sw4yz5j

@AmerMedicalAssn @PresAmerMed 6/ “Notably, the AMA’s Augmented Intelligence Research released earlier this month found that nearly half of all physicians (49%) ranked oversight of payers’ use of AI in medical necessity determinations among the top 3 priorities for regulatory action.”

tinyurl.com/3se9epm5

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