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Blue Cross Blue Shield

2 GoKawiil briefs on this topic

BCBSA says AI-assisted hospital coding added $942 million in costs since 2023

Blue Cross Blue Shield Association estimates that hospitals' use of AI-assisted medical coding added nearly $942 million in costs to its health plans between 2023 and 2025. The group says much of the increase stems from AI identifying secondary diagnoses, often based on single lab values, that push patients into higher-paying billing categories. Health economist Christopher Whaley notes AI is making it easier to capture existing billing incentives, though the added diagnoses are not necessarily inappropriate.

BCBSA analysis: AI coding tools added $942M to healthcare spending in two years

The Blue Cross Blue Shield Association released an analysis attributing $942 million in additional healthcare spending over two years to hospitals' use of AI tools when submitting insurance claims. The group found a sharp rise in patients coded as having complex conditions without corresponding changes in the actual care delivered. The New York Times cited the findings as part of a broader trend of AI driving up healthcare costs on both the hospital and insurer sides.