A single clinical algorithm can deliver unequal accuracy across patient groups, and concern about such disparity has grown as artificial intelligence (AI) spreads through clinical decision-making. In response, a liability rule introduced in the United States holds healthcare providers responsible when their reliance on disparate algorithms contributes to erroneous clinical decisions. We examine how such liability considerations reshape (i) an AI firm's algorithm design decisions that drive group-specific accuracy and (ii) a physician's decisions to use AI in healthcare delivery. The AI firm designs an algorithm for two patient groups, and improving accuracy for the disadvantaged group is more costly. The physician (who remains the accountable decision-maker) then decides whether to consult AI, weighing the reduction in clinical uncertainty against expected liability exposure when AI errors disproportionately affect the disadvantaged group. We find the liability rule can induce disparate use of AI: the physician may reduce AI use overall and, over an intermediate range of liability, rely on AI less for disadvantaged patients. The effect is non-monotone. As liability increases, the physician's use of AI for disadvantaged patients first declines, then rises as the firm reallocates investment toward reducing disparity or switches to an equal-accuracy design. Mandating equal algorithmic accuracy across patient groups can then inadvertently harm both groups, because a uniform accuracy requirement distorts the firm's investment incentives and the physician's equilibrium AI-use decisions.
C. Castaldi, F. Castellacci, A. Fronzetti Colladon +2econ.GN cs.CL
Researchers, managers and policymakers are exploring different approaches and data sources to map the development and the diffusion of Artificial Intelligence (AI). In this research note, we illustrate the opportunities offered by trademark data. We argue that AI trademarks can complement AI patents to capture different dimensions of AI innovation. AI trademarks can reveal the extent and ways in which companies exploit AI technologies to develop new goods and services. Importantly, trademark data offer a timely and globally available data source that covers all economic sectors. We present insights from using AI trademarks in an empirical exploration of Italian firms. In our discussion, we reflect on how AI trademarks can be used at different levels of analysis to tackle emerging questions about the development and diffusion of AI.
Large Language Models (LLMs) have revolutionized AI services, but a critical tension emerges: while personalization improves model performance, it consumes scarce computational resources that users must share. When should a user invest in expensive Supervised Fine-Tuning (SFT) versus lightweight In-Context Learning (ICL)? How does congestion from other users' personalization choices reshape these incentives? And what strategies should platforms adopt when offering multiple personalization algorithms? We develop a tractable framework for LLM serving that captures the statistical-economic trade-offs users face. Our analysis yields several surprising insights. First, we show that ICL and SFT dominate in different regimes, determined by an interplay between pretraining coverage and data signal-to-noise ratios, but congestion can flip these rankings. Second, equilibrium resource consumption exhibits pronounced non-monotonicity: improving pretraining precision reduces the congestion, while broader pretraining coverage and harder tasks sometimes increase it. Third, we prove that offering both personalization methods never hurts the platform's maximal profits, despite potentially increasing computational load. Experiments with GPT-2 on linear regression tasks validate our theoretical predictions about algorithm performance. Complementing these results, our review of documentation from 21 major AI platforms shows that the share offering both SFT and ICL increased from 9.5% in 2021 to 71.4% in 2025, consistent with our platform-design implications.
We propose a model-grounded RAG-based AI economist with an agentic framework for economic scenario analysis using large language models (LLMs) and knowledge graphs. While LLMs can generate fluent economic narratives, economists are often required to make economic claims grounded by economic theory and real-world data. Based on this motivation, this study proposes an RAG-based AI economist, which utilizes knowledge graphs including economic data and theory and LLM-based agents to plan the analysis, retrieve relevant evidence, select appropriate models, and generate reports. In our framework, we do not produce quantitative claims directly with the language model alone; instead, we generate narratives grounded in explicit model-based computations and linked to the retrieved evidence via AI agents. We refer to our framework as an AI economist agent. We evaluate the AI economist agent in two applications: economist report generation for U.S. inflation persistence and Federal Reserve policy, and bank stress-test narrative generation for U.S. commercial real estate refinancing stress. The results illustrate how grounding the generated reports improves their economic coherence and traceability.