ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-The Big Question: Who Will Pay for AI?

Video Transcription

Video Summary

Dr. Kan discusses the question of who will pay for AI in the field of medicine. He mentions that in the past, the federal government provided payment for the use of computer-aided detection in mammography. However, many mammographers did not find it useful and had to remove the CAD marks from the images. Dr. Kan talks about various payment mechanisms, such as the new technology add-on payment (NTAP) and value-based care. He also highlights the temporary nature of the NTAP and the need for AI to demonstrate better outcomes. He further discusses reimbursement mechanisms and raises the question of who should receive payment for AI systems. Dr. Kan addresses the issue of legal liability associated with AI and suggests the possibility of adopting an indemnification model similar to the one used by Mercedes for their self-driving cars. In conclusion, Dr. Kan suggests that AI payment will likely not come from the federal government, but rather from increased productivity, reduced malpractice risk, and the opportunity to move to higher-value procedures.

Asset Subtitle

Charles Kahn, Jr., MD, MS

Keywords

AI in medicine

payment mechanisms

computer-aided detection

value-based care

reimbursement mechanisms