Medical Economics March 26, 2024
Using artificial intelligence to fight fraud, waste, abuse and error could have profound effects on primary care practices.
Primary care physicians stand at the forefront of health care delivery, entrusted with the vital task of safeguarding the health and well-being of their patients. However, their ability to fulfill this responsibility is contingent on the integrity of the health care system within which they operate. Unfortunately, the pervasive issue of health care fraud, waste, abuse and error (FWAE) threatens to undermine this integrity, eroding trust amongs payers, providers and patients alike.
The magnitude of the FWAE crisis cannot be overstated. Annually, health care payers hemorrhage billions of dollars due to fraudulent schemes, leading to unnecessary overpayments and exacerbating the already strained...