Who Will Pay for AI?
Who Will Pay for AI?
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DOI：
10.1148/ryai.2021210030
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发表时间：
2021-05-01
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影响因子：
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通讯作者：
Nicola, Gregory N
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文献类型：
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作者：
Chen, Melissa M;Golding, Lauren Parks;Nicola, Gregory N
2020年，美国最大的医疗保健支付方医疗保险和医疗补助服务中心（CMS）通过医疗保险医师收费表（MPFS）和住院患者预期支付系统（IPPS）中的两个不同系统建立了人工智能（AI）的支付。在MPFS中，一个新的现行程序术语代码被用于诊断糖尿病视网膜病变的人工智能工具IDx-RX。在IPPS中，医疗保险为Viz.ai软件建立了一项新技术附加支付，这是一种有助于诊断和治疗大血管闭塞性中风的人工智能算法。本文描述了这两种支付系统中的报销，并提出了AI未来的支付途径。关键词：计算机应用-通用（信息学），技术评估©RSNA， 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. Keywords: Computer Applications-General (Informatics), Technology Assessment © RSNA, 2021.