New California law prohibits using AI as basis to deny insurance claims
New California law prohibits using AI as basis to deny health insurance claims
New California law prohibits using AI as basis to deny insurance claims
New California law prohibits using AI as basis to deny health insurance claims
33 comments
I’m eagerly awaiting the government regulation that overrides this.
“Sorry guys, that loophole was unexpected”
They’ll pay a handful of humans 2 cents per click to “review” each AI decision. See? A human made the final decision! It’s a coincidence that the human agrees with the machine 100% of the time or gets fired.
I can see the GOP Congress and Trump’s court making this an absolute priority for a great America to overturn as precedent.
AI seems to make the world shittier whatever it touches. Maybe just outlaw it all together?
thats great. ban outrageous deductibles and healthcare denials next please….
Don’t need an AI for a rubber stamp and red ink.
Ban all AIs. All of them. Just don’t do it.
California has sense.
Let’s see which insurance companies say it’s now too expensive to provide coverage in California.
Finally, some common sense in legislation. AI should assist, not decide. This law is a step in the right directio
Anyone have a copy of the text of this law. Because to me, it is fucking dumb. Let me explain. AI can’t deny claim. That is fine, but it can APPROVE claim and also pa approval. So let me get this straight. What is to stop a company from using AI to scan over claims or pa and approve the ones that are needed. Then single out the denials for 2 second reviews? It amounts to the same damn thing in essence. And AI isn’t fullproof either on approvals. It can be mistaken in both ways. They need to just flat out ban AI from claim processing and prior auth’s. Claims have approval diagnosis codes as well as therapies that are recognized. AI is not needed for that type of review. But it WILL be used for it also and it will lead to a lot of mistakes piling on quickly.
That AI system had children
I mean fuck yes. It literally is going to take state level laws to get shit done around here. But also fuck you Texas et al and your draconian bullshit.
Jesus, just regulate the industry already. Take the decisions out of their hands, or better yet go single payer and reap the efficiency/frustration gains.
Good.
20 years ago. I feel like Americans would not even dream of this headline ..
That’s right in California we don’t the old fashioned way. A totally unqualified live claims adjuster makes the “decision” to deny us.
California fuckin’ LEADING THE NATION once again. Keep it goin 😀
that’s what they do though–deny claims. AI would lower their costs, but changing nothing else. Is this Gavin Newsom again? the CA governor has this huge plan for the homeless with the caveat “if there’s a surplus”. (nobody thinks there will be one). newspaper spent pages on the elaborate plan and in only one place they mention the caveat
Just get Medicare for all California. Oregon is way ahead of you in this.
We must come together to outlaw the thinking machines.
Insurance company will just have AI flag the claim and a person will review and deny the claim as usual.
Are rule based algorithms powered by AI a worse thing than some offshore employee with no tenure making decisions? I’d rather subject AI to various controlled test than prohibit it
I don’t think AI making decisions is *necessarily* a bad thing, but I’d be in favor of legislation to the effect that if a company does something illegal, then they’re liable for triple damages if the decision to do the illegal thing was outsourced to an AI or other automated system.
Health Insurance Companies: ‘OK, we’ll still use AI to deny claims, but will send them to a human for rubber-stamping first!’
Now do the same for landlord-cartels setting prices for rent.
“Well ***we*** didn’t deny your claim, the AI did.”
Please.
Oh, interesting this comes after the murder of a CEO. It’s as if violence does make change happen. Coincidentally the issue that was complained about in the manifesto is suddenly a law. Gosh, how strange.
So weird how that works.
AI will “suggest”. Human will glance, concur and stamp.
Damn when it’s a CEO’s life on the line they get this legislation out quick. So glad this will save so many CEOs.
Perhaps insurance companies should be subject to malpractice, same as the physician. If a patient is denied coverage and ends up lacking care that would have better served them, the insurance company should be liable. That should help make insurers, and their decision makers, financially and licensure accountable to their actions.
A.I. making choices about what medical procedures people can have?
What could go wrong?
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