Gastroenterology and Artificial Intelligence: 4th Annual Global Artificial Intelligence Summit | August 2022-The Big Question: Who will pay for AI?

Pdf Summary

The adoption of AI in healthcare will face challenges within the current fee-for-service reimbursement system. However, as value-based payment models become more prevalent, AI can become a valuable tool for radiologists and healthcare systems. Currently, there are different payment pathways proposed by the Centers for Medicare and Medicaid Services (CMS) to support AI integration, such as the Medicare Physician Fee Schedule (MPFS) and the Inpatient Prospective Payment System (IPPS).<br /><br />The question of who will pay for AI solutions in healthcare arises, and several stakeholders are identified. Firstly, the federal government is mentioned, but it is uncertain whether they will provide financial support. Physicians may contribute to AI adoption by improving productivity, reducing the risk of malpractice, and offering high-value procedures. Health systems have the potential to decrease systemic costs, including those related to malpractice, through the use of AI. Health insurance companies are also recognized as potential contributors. Lastly, AI companies and developers are expected to play a role in supporting the cost of AI implementation.<br /><br />In conclusion, the payment for AI in healthcare remains a topic of discussion. While challenges exist within the fee-for-service system, the increasing shift towards value-based payment models may provide a more sustainable framework. Various stakeholders, including the federal government, physicians, health systems, insurance companies, and AI companies, are identified as potential contributors to the cost of AI adoption in healthcare.

Asset Subtitle

Charles Kahn, Jr., MD, MS

Keywords

AI adoption in healthcare

fee-for-service reimbursement challenges

value-based payment models

radiologists

healthcare systems

payment pathways

federal government's support

physicians' role

health systems

health insurance companies