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. https://hitconsultant.net/2019/11/06/payment-integrity-is-ai-the-real-answer-to-reducing-overutilization/#.XcMlJ1UzbIV
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IS AI THE REAL ANSWER TO REDUCING OVERUTILIZATION?
There are certainly moments when overutilization of the system for unnecessary tests can be pinpointed to a specific cause. A few years ago, for example, Angelina Jolie’s double mastectomy prompted a massive spike in BRCA tests, including among a significant number of women who had a low probability of carrying the mutation. While this type of overutilization may not be predictable, it is also not the main culprit of overspending. Despite the extreme focus to reduce the total amount spent on healthcare, why does extensive spending on unnecessary or excessive tests or procedures continue? The easy answer is because it is often difficult to spot what is unnecessary or excessive. DOUG WILLIAMS READ MORE