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Who Will Pay for AI? | LitMetric

Who Will Pay for AI?

Radiol Artif Intell

Department of Radiology, University of Texas MD Anderson Cancer Center, 1400 Pressler St, Unit 1482, Houston, TX 77030 (M.M.C.); Triad Radiology, Winston-Salem, NC (L.P.G.); and Hackensack Radiology, Hackensack, NJ (G.N.N.).

Published: May 2021

In 2020, the largest U.S. health care payer, the Centers for Medicare & Medicaid Services (CMS), established payment for artificial intelligence (AI) through two different systems in the Medicare Physician Fee Schedule (MPFS) and the Inpatient Prospective Payment System (IPPS). Within the MPFS, a new Current Procedural Terminology code was valued for an AI tool for diagnosis of diabetic retinopathy, IDx-RX. In the IPPS, Medicare established a New Technology Add-on Payment for Viz.ai software, an AI algorithm that facilitates diagnosis and treatment of large-vessel occlusion strokes. This article describes reimbursement in these two payment systems and proposes future payment pathways for AI. Computer Applications-General (Informatics), Technology Assessment © RSNA, 2021.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166111PMC
http://dx.doi.org/10.1148/ryai.2021210030DOI Listing

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