Translating innovation into payment: A.I. reimbursement in U.S. health care.
Artificial intelligence (A.I.) technologies are increasingly deployed across clinical care, yet reimbursement remains a major barrier to sustainable adoption. The Centers for Medicare & Medicaid Services (CMS) currently reimburses A.I.-enabled technologies through a fragmented set of procedural codes, add-on payments, and legacy payment models, none of which were designed to support the complexity or workflow integration of clinical A.I. This article examines how existing CMS reimbursement pathways for A.I. function [...]
Author(s): Bains, Sandeep S, Mohan, Vishnu, Gold, Jeffery A
DOI: 10.1093/jamia/ocag074