Scaling Adoption of Medical AI — Reimbursement from Value-Based Care and Fee-for-Service Perspectives
Abstract
Sustainable reimbursement is key for medical artificial intelligence (AI) to benefit patients and populations at scale; however, achieving reimbursement is complex and requires the support of various stakeholders. We explain the roles of the different stakeholders and the extent to which reimbursement mechanisms, including fee-for-service and value-based care, align stakeholder interests and facilitate the scaling of medical AI adoption.
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Utilization of autonomous AI for DR testing has been scaling rapidly.
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- Authors
- Abramoff, M. D., Dai, T., & Zou, J.
- Affiliations
- Department of Ophthalmology and Visual Sciences, University of Iowa, Iowa City
- Johns Hopkins University (US)
- Stanford University (US)
- Venue
- NEJM AI
- Publisher
- Massachusetts Medical Society
- Published
- 2024-04-25
- Volume
- 1
- Issue
- 5
- Pages
- AIpc2400083-AIpc2400083
- ISSN
- 2836-9386 (ISSN-L)
- OpenAlex
- W4394767443
- Cited by
- 32
- References
- 18
- Citations by year
- 2026: 11 · 2025: 11 · 2024: 10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- NEJM AI (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- artificial intelligence in healthcare, reimbursement, value-based care, fee-for-service, stakeholder interests, health care payment models
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