KevinMD April 8, 2025
Physician executive Tim Wetherill discusses his article, “Why AI is the perfect neutral arbiter for health care claims.” Tim explores how deeply embedded incentives, inefficiencies, and subjectivity in the current claims adjudication process create opportunities for manipulation and inefficiency. He explains how AI, when trained on clear, bias-free rules, can standardize decision-making and eliminate ambiguity, reducing the need for multiple vendors and decreasing billing errors. Tim argues that AI is uniquely positioned to serve as an unbiased third party—improving outcomes for health plans, providers, and ultimately, patients. His insights point to a future where fairness and efficiency drive health care claims resolution.
Transcript
Kevin Pho: Hi, and welcome to the show. Subscribe at KevinMD.com/podcast. Today we welcome Dr. Tim Wetherill. He is...
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