{"id":347765,"date":"2025-12-14T16:11:07","date_gmt":"2025-12-14T16:11:07","guid":{"rendered":"https:\/\/www.newsbeep.com\/au\/347765\/"},"modified":"2025-12-14T16:11:07","modified_gmt":"2025-12-14T16:11:07","slug":"experts-urge-caution-as-trumps-big-bill-incentivizes-ai-in-healthcare-us-healthcare","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/au\/347765\/","title":{"rendered":"Experts urge caution as Trump\u2019s big bill incentivizes AI in healthcare | US healthcare"},"content":{"rendered":"<p class=\"dcr-130mj7b\">For states to receive certain funding stipulated in the Trump administration\u2019s \u201cbig, beautiful\u201d bill, they must meet three of 10 criteria \u2013 including integrating more artificial intelligence (<a href=\"https:\/\/www.theguardian.com\/technology\/artificialintelligenceai\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\">AI<\/a>) technology in <a href=\"https:\/\/www.theguardian.com\/us-news\/healthcare\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\">healthcare<\/a> settings \u2013 which experts say could have major benefits and liabilities for under-resourced hospitals, depending on how it\u2019s implemented.<\/p>\n<p class=\"dcr-130mj7b\">The Rural Health Transformation Fund is a carveout that will provide $50bn over a period of five years to states<a href=\"https:\/\/www.cms.gov\/priorities\/rural-health-transformation-rht-program\/overview\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\"> who meet certain application criteria<\/a>, including \u201cconsumer-facing, technology-driven solutions for the prevention and management of chronic diseases,\u201d and \u201cproviding training and technical assistance for the development and adoption of technology-enabled solutions that improve care delivery in rural hospitals, including remote monitoring, robotics, artificial intelligence, and other advanced technologies\u201d.<\/p>\n<p class=\"dcr-130mj7b\">Analysts have noted that this $50bn <a href=\"https:\/\/ccf.georgetown.edu\/2025\/09\/02\/untangling-the-current-debate-around-federal-medicaid-cuts-the-rural-health-transformation-program-and-state-medicaid-budgets\/\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\">will not be nearly enough<\/a> to make up for the <a href=\"https:\/\/www.kff.org\/medicaid\/allocating-cbos-estimates-of-federal-medicaid-spending-reductions-across-the-states-enacted-reconciliation-package\/\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\">Congressional Budget Office\u2019s projected $911bn<\/a> reduction in Medicaid spending over the next decade under the bill (Obba). These cuts will affect both patients who lose free health coverage under Medicaid, and hospitals who benefit from those patients\u2019 Medicaid reimbursements.<\/p>\n<p class=\"dcr-130mj7b\">Chenhao Tan, associate professor of data science at the University of Chicago, and Karni Chagal-Feferkorn, an assistant professor at the University of South Florida\u2019s college of AI and cybersecurity, said AI technology could provide major benefits to rural hospitals that <a href=\"http:\/\/www.chartis.com\/insights\/2025-rural-health-state-state\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\">are frequently under-resourced and under-staffed. <\/a>They also agreed that AI has the potential to alleviate the administrative burden that physicians at these hospitals often face.<\/p>\n<p class=\"dcr-130mj7b\">Physicians are responsible for taking detailed notes on patient visits and compiling them for electronic health records systems \u2013 a task that can take eight hours or more each week, according to the <a href=\"https:\/\/www.ama-assn.org\/practice-management\/physician-health\/doctors-work-fewer-hours-ehr-still-follows-them-home\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\">American Medical Association.<\/a><\/p>\n<p class=\"dcr-130mj7b\">A recent study found that AI generated patient notes are similar in quality to those of general physicians, <a href=\"https:\/\/www.nature.com\/articles\/s41746-025-01543-z\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\">but worse than those of expert physicians.<\/a> Tan said that it\u2019s important to take context \u2013 like <a href=\"https:\/\/www.ruralhealth.us\/blogs\/2025\/06\/rural-physician-burnout-and-staffing-shortage-impact-in-2025\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\">frequent physician burnout in rural hospitals<\/a> \u2013 into account when evaluating risks and benefits.<\/p>\n<p class=\"dcr-130mj7b\">\u201cIf the baseline is tired human doctors, then I think it is even easier to make an argument that AI may do better than them,\u201d Tan said.<\/p>\n<p class=\"dcr-130mj7b\">Chagal-Feferkorn hopes that AI can help alleviate rural hospital staffing issues, not only by reducing the workload but by attracting more doctors.<\/p>\n<p class=\"dcr-130mj7b\">\u201cIf the equipment is state-of-the-art, and they feel that much of the burdensome work is done by AI, I think this could be one incentive for physicians to go work in rural areas, this might have a great impact,\u201d she said.<\/p>\n<p class=\"dcr-130mj7b\">The FDA currently regulates AI technologies that are intended to evaluate and diagnose health conditions because they are considered medical devices. However, technologies that simply transcribe and compile patient notes are not regulated, though they may market themselves as Hipaa compliant.<\/p>\n<p class=\"dcr-130mj7b\">While Tan said it would be too high a bar to expect these technologies to be \u201cbulletproof\u201d before they can enter the market, he acknowledged that \u201cthere should be something higher than nothing,\u201d in terms of regulatory requirements.<\/p>\n<p class=\"dcr-130mj7b\">Chagal-Feferkorn also said that the proliferation of AI also creates additional cybersecurity concerns.<\/p>\n<p class=\"dcr-130mj7b\">\u201cAI makes it easier for ordinary people to hack systems,\u201d she said, adding that AI has the potential to improve patient safety by merging patient records from different providers so that, for example, every provider is aware of every medication that a patient is taking and can thus easily avoid dangerous medication interactions.<\/p>\n<p class=\"dcr-130mj7b\">But this kind of technology will also require more privacy precautions.<\/p>\n<p class=\"dcr-130mj7b\">\u201cThe more data sharing there is, obviously the risk for data security breach is larger,\u201d Chagal-Feferkorn continued.<\/p>\n<p class=\"dcr-130mj7b\">To mitigate these risks, Tan said \u201cworker upscaling needs to go hand in hand\u201d with the adoption of AI technology. But Tan and Chagal-Feferkorn both expressed concern that under-resourced hospitals will attempt to adopt AI technology as a cost-cutting measure without the necessary staff and safety infrastructure.<\/p>\n","protected":false},"excerpt":{"rendered":"For states to receive certain funding stipulated in the Trump administration\u2019s \u201cbig, beautiful\u201d bill, they must meet three&hellip;\n","protected":false},"author":2,"featured_media":347766,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[64,63,137,500],"class_list":{"0":"post-347765","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-healthcare","8":"tag-au","9":"tag-australia","10":"tag-health","11":"tag-healthcare"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts\/347765","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/comments?post=347765"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts\/347765\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/media\/347766"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/media?parent=347765"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/categories?post=347765"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/tags?post=347765"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}