Between reducing OT making it virtually impossible , not enough staffing and AI taking over 😒
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@ba PREACH
AI is a joke at Centene. 🤣🤣🤣 We don't even have a functioning intranet!! And everyone's laptops crash every other month!! LOL
Enrollment data is bad, claims data is bad, and HEDIS data is abysmal. And absolutely none of the systems communicate. This company runs on Excel. AI isn't going to help anything.
To be able to do AI correctly you have to feed it good data and good business workflows both Centene does not have. That would be why the accuracy is bad.
Centene can hardly get enrollment systems data correct.. AI is going to solve anything? With the MicroSlop I have to deal with on a daily basis, I actually work harder now..
People here are operating under the pretense that states actually care about their people. They don’t. Game this out. AI advances, disrupts employment, lowers tax revenues, negatively impacts state budgets. At that point, there is going to be extreme pressure on legislators to spend less of a declining pool of taxpayer dollars. And you think they are going to care about NOT paying out money for denied authorizations???
They're trying to eliminate OT, but they won't be able to with the way AI is processing claims incorrectly. They keep laying off people and then keep asking for help from analysts to reprocess all the claims that are being disputed because of AI because they don't have enough people. SMDH
I work in claims OPS, and they are already pushing AI, which is messing up the claims left and right. Massive wrongful denials, amongst other things. They may want to keep up with their competitors, but it's going to cost them billions in the long run, with a long list of lawsuits coming their way.
Well you’re going to get it whether you want it or not. Centene, like any for profit business, would be crazy not to. Are they supposed to just sit on the sidelines while their competitors utilize AI? Insurance is one of the industries most cited as vulnerable to AI disruption. Not hard to see AI doing the work of UM in the not to distant future.
The ai push is the stupidest part. It isnt making money as a whole and it has as low as a 45% accuracy rate. We want that sh!t in our already abysmal healthcare too? Monitoring peoples claims and healthcare data? Theres no safeguards to prevent personal information being uploaded.