{"id":513735,"date":"2026-03-09T21:43:25","date_gmt":"2026-03-09T21:43:25","guid":{"rendered":"https:\/\/www.newsbeep.com\/us\/513735\/"},"modified":"2026-03-09T21:43:25","modified_gmt":"2026-03-09T21:43:25","slug":"blue-cross-blue-shield-study-says-ai-upcoding-is-driving-up-prices","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us\/513735\/","title":{"rendered":"Blue Cross Blue Shield study says AI upcoding is driving up prices"},"content":{"rendered":"<p>Since last summer, health insurers have <a href=\"https:\/\/www.statnews.com\/2025\/10\/31\/health-insurer-ai-fights-hospital-ai-coding-billing\/\" rel=\"nofollow noopener\" target=\"_blank\">been telling investors<\/a> that hospitals\u2019 use of artificial intelligence tools for medical coding and billing is driving up the cost of health care.\u00a0<\/p>\n<p>Insurers claim this emerging practice is hurting their bottom lines, and have been implementing programs to fight it and <a href=\"https:\/\/www.statnews.com\/2025\/10\/27\/blue-cross-algorithm-for-health-care-costs-infuriates-doctors\/\" rel=\"nofollow noopener\" target=\"_blank\">pay doctors less<\/a> if they think the higher billing wasn\u2019t justified. But until now, no insurers have publicly offered proof of AI-driven overbilling by hospitals.\u00a0<\/p>\n<p>Now, a new report from a data analysis firm associated with the Blue Cross Blue Shield Association offers the the first possible evidence that AI coding may be behind insurers\u2019 increased expenses, and that it may be driving up the cost of health care. The insurer claims AI-driven coding inflation could be the <a href=\"https:\/\/www.bcbs.com\/news-and-insights\/report\/ai-boosting-hospital-billing\" target=\"_blank\" rel=\"noopener nofollow\">cause of $663 million<\/a> in additional inpatient spending.<\/p>\n<p class=\"restricted-text\">STAT+ Exclusive Story<\/p>\n<p class=\"restricted-login\">Already have an account? <a href=\"https:\/\/www.statnews.com\/login\/\" data-stat-login=\"\" data-stat-paywall-cta=\"breaker login cta\" rel=\"nofollow noopener\" target=\"_blank\">Log in<\/a><\/p>\n<p>\t\t\t<img decoding=\"async\" class=\"restricted-content-breaker-bg\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/12\/1765280600_844_stat-plus-breaker-bg.png\" alt=\"STAT+\"\/><\/p>\n<p>\t\t\t\t\t<a href=\"https:\/\/www.statnews.com\/stat-plus\/\" rel=\"nofollow noopener\" target=\"_blank\"><br \/>\n\t\t\t\t\t\t<img decoding=\"async\" class=\"stat-plus-logo\" src=\"https:\/\/www.statnews.com\/wp-content\/themes\/stat\/images\/stat-plus-logo-white.svg\" alt=\"STAT+\"\/><br \/>\n\t\t\t\t\t<\/a><\/p>\n<p>\t\t\t\tThis article is exclusive to STAT+ subscribers<br \/>\n\t\t\t\tUnlock this article \u2014 and get additional analysis of the technologies disrupting health care \u2014 by subscribing to STAT+.<\/p>\n<p class=\"restricted-content-breaker-wrapper-cta mobile\">Already have an account? <a href=\"https:\/\/www.statnews.com\/login\/\" data-stat-login=\"\" data-stat-paywall-cta=\"breaker login cta mobile\" rel=\"nofollow noopener\" target=\"_blank\">Log in<\/a><\/p>\n<p>\t\t\t\t\t\tIndividual plans<\/p>\n<p>\t\t\t\t\t\tGroup plans<\/p>\n<p>\t\t\t\t<a href=\"https:\/\/www.statnews.com\/stat-plus\/\" class=\"stat-button view-all\" data-stat-paywall-cta=\"breaker view all plans\" aria-label=\"View All Plans\" rel=\"nofollow noopener\" target=\"_blank\">View All Plans<\/a><\/p>\n<p class=\"restricted-content-text\">\n\t\t\t\t\t\tTo read the rest of this story subscribe to STAT+.\t\t\t\t\t<\/p>\n<p>\t\t\t\t\t<a href=\"https:\/\/www.statnews.com\/stat-plus\/\" class=\"stat-button restricted-button\" data-stat-paywall-cta=\"breaker subscribe cta 1\" rel=\"nofollow noopener\" target=\"_blank\">Subscribe<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Since last summer, health insurers have been telling investors that hospitals\u2019 use of artificial intelligence tools for medical&hellip;\n","protected":false},"author":2,"featured_media":513736,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[181,97,252,9041,37583,253,9447,248],"class_list":["post-513735","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health-care","tag-artificial-intelligence","tag-health","tag-health-care","tag-health-insurance","tag-health-tech","tag-healthcare","tag-hospitals","tag-stat"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/513735","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=513735"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/513735\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/513736"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=513735"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=513735"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=513735"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}