Blue Cross Blue Shield

One cited study found a maternity diagnosis jumping from 4% to 12.3% of admissions in three years while transfusions barely moved — under a fifth met clinical criteria, adding $22M in spend. The pattern is upcoding, not compute cost.

A top-trust reader reframed the headline for skimmers, and another drew the next move: insurers will field adversarial AI to fight the billing AI, leaving the patient inside an automated arms race.