Vendors rolling out AI have an "incentive to deny as many claims as possible."

13 points•ndsipa_pomu•5 days ago•3 comments•

3 comments

ndsipa_pomu5 days ago
Paying the WISeR contractors a percentage of denied claims is clearly going to lead to a lot of human suffering and earlier deaths. The AQS (Aggregate Quality Score) penalties are pretty much meaningless as they are just slightly reduce the poorly performing contractors' profits.
N_Lens5 days ago
Definitely an extremely perverse incentive.
N_Lens5 days ago
I'm unsurprised, yet disgusted.

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