Leveraging reimbursement strategies to guide value-based adoption and utilization of medical AI.

Venkatesh, Kaushik P; Raza, Marium M; Diao, James A; Kvedar, Joseph C · NPJ Digit Med · 2022

expert_opinion · Level V

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Abstract

With the increasing number of FDA-approved artificial intelligence (AI) systems, the financing of these technologies has become a primary gatekeeper to mass clinical adoption. Reimbursement models adapted for current payment schemes, including per-use rates, are feasible for early AI products. Alternative and complementary models may offer future payment options for value-based AI. A successful reimbursement strategy will align interests across stakeholders to guide value-based and cost-effective improvements to care.