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UnitedHealth Group’s Optum debuted a new system, Optum Real, to make approving claims easier with AI. At HLTH, I chatted with UnitedHealth’s chief medical officer Margaret-Mary Wilson about how the healthcare giant’s thinking about using AI. First, she said, the company maintains that AI doesn’t replace providers. That extends to coverage decisions. “We firmly advocate that AI is not used to make decisions or to determine what's appropriate to be covered,”
Wilson said.
There’s also a risk with using AI.
“We also think that there has got to be a strong emphasis on the responsible piece of AI,” she said. “And we cannot leverage AI or any technology, with the assumption that, because it's emerging technology, it comes without risk. It's like any other intervention.” |