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Texas AG reaches settlement in health AI probe
In other legal news, the Texas Attorney General has reached a settlement with a Dallas health AI company that the government charged with making false claims about its products’ accuracy and safety before deploying them at Texas hospitals. The company, called Pieces, sells generative AI technology it says provides summaries of patients’ condition and treatment to clinicians. The AG concluded that Pieces’ metrics for accuracy, and its claims about a relatively low hallucination rate, were themselves inaccurate. Read more.
Can AI reduce fraud, waste and abuse?
A study in NEJM Catalyst suggests that using AI to screen medical claims for fraud, waste and abuse could reduce erroneous charges. In the analysis led by several employees of health analytics company Health at Scale and personalized health tech platform Personify Health and the Massachusetts Institute of Technology and the University of Michigan, authors report that the AI screening flagged almost $12 million in inappropriate claims before they were paid, about 1.2% of total spending across almost 300,000 claims. The technology, sold by Health at Scale, requested medical records for patients whose claims were flagged to ensure the “alignment of medical services and interventions with established guidelines and standards of medical care.” Read more.
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