{"id":138546,"date":"2025-11-16T23:11:09","date_gmt":"2025-11-16T23:11:09","guid":{"rendered":"https:\/\/www.newsbeep.com\/nz\/138546\/"},"modified":"2025-11-16T23:11:09","modified_gmt":"2025-11-16T23:11:09","slug":"accs-use-of-ai-to-help-decide-who-gets-help-shocks-advocate","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/nz\/138546\/","title":{"rendered":"ACC&#8217;s use of AI to help decide who gets help shocks advocate"},"content":{"rendered":"<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/nz\/wp-content\/uploads\/2025\/11\/4LZLOTA_image_crop_135577\" width=\"1050\" height=\"700\" alt=\"\"\/><\/p>\n<p class=\"photo-captioned__information\">\nThere are about 25,000 long-term claimants that have been receiving compensation for a year or more, the most there had ever been.<br \/>\nPhoto:\n<\/p>\n<p>A move by ACC <a href=\"https:\/\/www.rnz.co.nz\/news\/national\/528611\/acc-trial-of-artificial-intelligence-sees-boost-in-quality-speed-of-work\" rel=\"nofollow noopener\" target=\"_blank\">to use artificial intelligence<\/a> to help decide which long-term claimants should go back to work is being called &#8220;shocking&#8221;.<\/p>\n<p>It comes as the state insurer is under instruction from its minister to reduce the long-term claims pool.<\/p>\n<p>There are about 25,000 long-term claimants that have been receiving compensation for a year or more, the most there had ever been.<\/p>\n<p>ACC earlier this year commissioned advice to work out how it could both remove existing clients, and <a href=\"https:\/\/www.rnz.co.nz\/news\/national\/577071\/acc-stops-payments-to-record-numbers-of-long-term-clients\" rel=\"nofollow noopener\" target=\"_blank\">prevent new ones from entering the pool<\/a>.<\/p>\n<p>In the year to June 2025 a record 8000 long-term claimants were taken off its books because they were deemed &#8220;work ready&#8221;.<\/p>\n<p>ACC planned to ramp up exits even more, with a goal of 11,675 by next June.<\/p>\n<p>By 2028 it hoped to have more people coming out of the long-term pool than going in.<\/p>\n<p>&#8220;Nothing in ACC&#8217;s proposals actually looks at rehabilitation,&#8221; ACC advocate Warren Forster told Nine to Noon.<\/p>\n<p>&#8220;It&#8217;s all about &#8216;how can we ramp up exits, how can we get more people coming off the scheme&#8217;, and that&#8217;s the antithesis of the statutory purpose. It&#8217;s the antithesis of why we have ACC in New Zealand.&#8221;<\/p>\n<p>ACC said it was committed to helping injured people return to independence or to their new normal after life-changing injuries.<\/p>\n<p>&#8220;It&#8217;s important that we manage the scheme sustainably so it&#8217;s there for Kiwis when they need it, now and in the future,&#8221; ACC deputy chief executive Michael Frampton said.<\/p>\n<p>He said some long-term claimants would need financial support for a longer time because of life-changing injuries, but there were some whose injuries would not normally take a long time to recover from.<\/p>\n<p>&#8220;That suggests they might not have had the right support and we&#8217;re actively working with them to help them back to independence,&#8221; Frampton said.<\/p>\n<p>He said one step was to make sure all long-term claimants have one-to-one case management to make sure they were getting the right support. Frampton said this was already showing positive effects and giving better outcomes.<\/p>\n<p>&#8220;ACC is using AI to help identify cases where the client may benefit from a further review by staff member to help ensure that they&#8217;re receiving the right support,&#8221; he said.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/nz\/wp-content\/uploads\/2025\/11\/4OPUNYM_image_crop_17287\" width=\"576\" height=\"384\" alt=\"Acclaim Otago report lead author Warren Forster\"\/><\/p>\n<p class=\"photo-captioned__information\">\nWarren Forster.<br \/>\nPhoto: RNZ \/ Ian Telfer\n<\/p>\n<p>Frampton said it also meant providing &#8220;advice on next steps&#8221;.<\/p>\n<p>Forster said 31,000 injured people had been pushed off ACC in the last five years.<\/p>\n<p>&#8220;The AI will tell you &#8216;person X has a sprain, they&#8217;ve been off work for six years&#8217; or whatever the case might be,&#8221; he said.<\/p>\n<p>&#8220;The AI will say &#8216;well, this person&#8217;s got a sprain, we&#8217;ll get rid of them&#8217; and that&#8217;s, you know, when you&#8217;re blindly following what a model does then you produce junk data&#8221;.<\/p>\n<p>He said the person might have a disc prolapse or a tendon tear, may have been misdiagnosed or may be in mental health distress.<\/p>\n<p>&#8220;Everyone knows the person doesn&#8217;t have a sprain injury,&#8221; Forster said.<\/p>\n<p>&#8220;AI can tell you that this person has a problem, but AI is not going to tell you what that problem is. What we have is AI identifying someone who ACC can exit.&#8221;<\/p>\n<p><a href=\"https:\/\/radionz.us6.list-manage.com\/subscribe?u=211a938dcf3e634ba2427dde9&amp;id=b3d362e693\" rel=\"nofollow noopener\" target=\"_blank\">Sign up for Ng\u0101 Pitopito K\u014drero, a daily newsletter<\/a> curated by our editors and delivered straight to your inbox every weekday.<\/p>\n","protected":false},"excerpt":{"rendered":"There are about 25,000 long-term claimants that have been receiving compensation for a year or more, the most&hellip;\n","protected":false},"author":2,"featured_media":63983,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20],"tags":[365,363,364,48,47,111,43,139,69,49,46,44,45,145],"class_list":["post-138546","post","type-post","status-publish","format-standard","has-post-thumbnail","category-artificial-intelligence","tag-ai","tag-artificial-intelligence","tag-artificialintelligence","tag-audio","tag-current-affairs","tag-new-zealand","tag-news","tag-newzealand","tag-nz","tag-podcasts","tag-public-radio","tag-radio-new-zealand","tag-rnz","tag-technology"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/138546","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/comments?post=138546"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/138546\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media\/63983"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media?parent=138546"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/categories?post=138546"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/tags?post=138546"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}