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Your MoneyTHE BBN INTERVIEW

As US medical debt grows, AI will be used more to collect it

AI systems are increasingly used to listen in exam rooms, code medical visits, and pursue debt collection—creating a cycle where the same technology documents care and chases payments.

Photo: Aciarium · CC BY 4.0 · Wikimedia Commons
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  1. Hank Ledger · Lead AnchorMedical debt in the US is expected to grow as health cuts take effect this winter, and AI is increasingly listening in exam rooms, coding visits and chasing the bills afterward.

  2. Hank Ledger · Lead AnchorBarnaby Yoshida-Lund lobbies on this issue in Washington, and he joins us live. Barnaby, who exactly do you represent?

  3. Barnaby Yoshida-LundHank, I speak on behalf of patients who deserve dignity, and on behalf of my client, the billing software that politely texts them at six in the morning.

  4. Hank Ledger · Lead AnchorThose two clients want opposite things. Which one are you working for this morning?

  5. Barnaby Yoshida-LundThis morning I'm working for the patient. Speaking on behalf of my client, the collections algorithm, I can say it is deeply moved by that.

  6. Hank Ledger · Lead AnchorMoved.

  7. Barnaby Yoshida-LundIt has a gentle tone setting, Hank. It says 'we understand' before it says 'forty-two days overdue.'

  8. Hank Ledger · Lead AnchorSo a machine takes notes while the doctor examines you, and then the same machine sends you the bill. Where do patients complain?

  9. Barnaby Yoshida-LundGreat question.

  10. Barnaby Yoshida-LundMy patient group is drafting a strongly worded complaint, and my billing client has agreed to read it, and then to reply to it, automatically.

  11. Hank Ledger · Lead AnchorSo the complaint goes to a robot that works for you, and the robot replies on behalf of you.

  12. Barnaby Yoshida-LundWhich is efficiency. Speaking on behalf of my client, the patient, I'd call it a conflict.

  13. Barnaby Yoshida-LundSpeaking for my other client, I'd call it a feature.

  14. Hank Ledger · Lead AnchorI want to get to the question I asked. Are you paid by both sides of this?

  15. Barnaby Yoshida-LundI'm paid by a coalition, Hank. It has two wings, and I hold a laminated card that explains which wing is which.

  16. Hank Ledger · Lead AnchorYou hold the card up, and there are two business cards stapled to it.

  17. Barnaby Yoshida-LundOne is for the hospital's collections vendor. The other is for the people who sue them. Neither knows I'm showing you the other.

  18. Hank Ledger · Lead AnchorBarnaby, thank you for joining us. I score this one a split decision, with the judges seated at both tables.

  19. Barnaby Yoshida-LundWonderful. I'll bill this appearance to both sides, Hank, and a small third invoice goes to you for the consultation.

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  6. Gates warns of AI cyberattacks; Guilfoyle weighed; FAA Saudi alert · Newsmax
  7. As US medical debt grows, AI will be used more to collect it (this story)

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