Maybe there is an economic equalizer, but I feel like Fable is going to win more appeals than GLM 5.2, so perhaps not truly an equalizer. If the LLM you're using to run your appeal is better than the one your insurance company is using to process your appeal, then you have a better chance of winning. So we have an arms race type situation, and money is always good in arms races.

i agree with most of this, but for appeals and thing where there is a clear correct and fair answer, i think the models converge on the same answer regardless of level of intelligence (e.g., if you ask fable 5 and sonnet 5 what 2+2 is, you’ll get the same output)

That's a good point. It will be interesting to see how it plays out.

In general, I do think this is positive. Companies love putting barriers in front of everything and maybe the AI arms race will result in "fine, you can have a button to cancel" or "fine, we'll approve your medically necessary claim without making you do an appeals dance for our entertainment".