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全科放射学人工智能时代的报销问题。

Reimbursement in the age of generalist radiology artificial intelligence.

作者信息

Dogra Siddhant, Silva Ezequiel Zeke, Rajpurkar Pranav

机构信息

Department of Radiology, New York University Langone Health, New York, NY, USA.

South Texas Radiology, San Antonio, TX, USA.

出版信息

NPJ Digit Med. 2024 Dec 2;7(1):350. doi: 10.1038/s41746-024-01352-w.

DOI:10.1038/s41746-024-01352-w
PMID:39622981
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11612271/
Abstract

We argue that generalist radiology artificial intelligence (GRAI) challenges current healthcare reimbursement frameworks. Unlike narrow AI tools, GRAI's multi-task capabilities render existing pathways inadequate. This perspective examines key questions surrounding GRAI reimbursement, including issues of coding, valuation, and coverage policies. We aim to catalyze dialogue among stakeholders about how reimbursement might evolve to accommodate GRAI, potentially influencing AI reimbursement strategies in radiology and beyond.

摘要

我们认为,通用放射学人工智能(GRAI)对当前的医疗保健报销框架构成了挑战。与狭义的人工智能工具不同,GRAI的多任务能力使现有的报销途径变得不足。这一观点审视了围绕GRAI报销的关键问题,包括编码、估值和覆盖政策等问题。我们旨在促进利益相关者之间就报销如何演变以适应GRAI展开对话,这可能会影响放射学及其他领域的人工智能报销策略。

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Generalist medical AI reimbursement challenges and opportunities.全科医学人工智能报销面临的挑战与机遇。
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The clinician-AI interface: intended use and explainability in FDA-cleared AI devices for medical image interpretation.临床医生与人工智能的界面:FDA批准的用于医学图像解读的人工智能设备的预期用途和可解释性
NPJ Digit Med. 2024 Mar 26;7(1):80. doi: 10.1038/s41746-024-01080-1.
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Prospective Evaluation of AI Triage of Pulmonary Emboli on CT Pulmonary Angiograms.前瞻性评估人工智能在 CT 肺动脉造影中对肺栓塞的分诊。
Radiology. 2023 Oct;309(1):e230702. doi: 10.1148/radiol.230702.
3
To pay or not to pay for artificial intelligence applications in radiology.
放射学中人工智能应用是否付费的问题。
NPJ Digit Med. 2023 Jun 23;6(1):117. doi: 10.1038/s41746-023-00861-4.
4
The Current and Future State of AI Interpretation of Medical Images.医学图像人工智能解读的现状与未来发展态势
N Engl J Med. 2023 May 25;388(21):1981-1990. doi: 10.1056/NEJMra2301725.
5
Foundation models for generalist medical artificial intelligence.通用型医学人工智能的基础模型。
Nature. 2023 Apr;616(7956):259-265. doi: 10.1038/s41586-023-05881-4. Epub 2023 Apr 12.
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A Pilot to Implement Chronic Care Management Services at an Academic Medical Center.在学术医疗中心实施慢性病管理服务的试点项目。
Gerontol Geriatr Med. 2023 Mar 29;9:23337214231163385. doi: 10.1177/23337214231163385. eCollection 2023 Jan-Dec.
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Developing current procedural terminology codes that describe the work performed by machines.开发描述机器所执行工作的当前程序术语代码。
NPJ Digit Med. 2022 Dec 3;5(1):177. doi: 10.1038/s41746-022-00723-5.
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Leveraging reimbursement strategies to guide value-based adoption and utilization of medical AI.利用报销策略来指导基于价值的医疗人工智能采用和利用。
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A reimbursement framework for artificial intelligence in healthcare.医疗保健领域人工智能的报销框架。
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