US insurers and hospitals turn to new AI for age-old battle over charges vs payments

By Sriparna Roy and Sneha S K March 12 (Reuters) - Artificial intelligence is being deployed on both sides of the tug-of-war between U.S. healthcare systems that want to be paid more for medical procedures and insurers who want proof the services were necessary, and experts are having a hard time predicting a winner. Centene, an insurer focused on ‌the Medicaid program for low-income people, recently raised the issue, saying hospitals were aggressively or even improperly using revenue software to trigg ...