Incident 608: UnitedHealth Accused of Deploying Allegedly Flawed AI to Deny Medical Coverage
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Judith Sullivan was recovering from major surgery at a Connecticut nursing home in March when she got surprising news from her Medicare Advantage plan: It would no longer pay for her care because she was well enough to go home.
At the time,…
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A while back, I reported on a story in Stat News that exposed a division of UnitedHealth, NaviHealth that uses artificial intelligence, AI, to deny thousands of Medicare Advantage claims, in seconds. Now, Stat News reports that UnitedHealth…
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A class action lawsuit was filed Tuesday against UnitedHealth Group and a subsidiary alleging that they are illegally using an algorithm to deny rehabilitation care to seriously ill patients, even though the companies know the algorithm has…
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Nov 14 (Reuters) - UnitedHealth Group Inc (UNH.N) uses an artificial intelligence algorithm that systematically denies elderly patients' claims for extended care such as nursing facility stays, according to a proposed class action lawsuit f…
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- COURT: D. Minn.
- TRACK DOCKET: 23-cv-03514
Health insurer UnitedHealthcare is facing a class action alleging it used an artificial intelligence algorithm to wrongfully deny coverage to elderly people for care under their Medicare Advantage…
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UnitedHealthcare is facing a potential class-action lawsuit following allegations that it used an algorithm to deny claims for post-acute care services in Medicare Advantage (MA).
The proposed class action was filed Monday by the families o…
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A class action lawsuit filed this week alleges that healthcare giant UnitedHealth Group unlawfully used an artificial intelligence algorithm to deny rehabilitative care to sick Medicare Advantage patients.
The suit claims that UnitedHealth …
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UnitedHealthcare, a unit of UnitedHealth Group (NYSE: UNH), is facing a federal lawsuit over its use of an artificial intelligence tool in making Medicare Advantage claims denials for patients in extended care facilities.
That same issue wa…
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UnitedHealthcare has been sued for allegedly denying healthcare claims based on a faulty AI model.
The lawsuit [PDF], filed Tuesday in federal court in Minneapolis on behalf of the estates of two elderly men, alleges that at least since Uni…
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Insurance giant UnitedHealth Group is facing a lawsuit alleging it used an artificial intelligence algorithm to wrongfully deny coverage to older patients for care under its Medicare Advantage health policies, Bloomberg Law reported Nov. 14…
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UnitedHealthcare, the largest health insurance company in the US, is allegedly using a deeply flawed AI algorithm to override doctors' judgments and wrongfully deny critical health coverage to elderly patients. This has resulted in patients…
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UnitedHealthcare, the largest health insurance provider in the US, is currently embroiled in a class-action lawsuit alleging the wrongful denial of extended care claims for elderly patients through the use of an artificial intelligence (AI)…
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Health insurance giant UnitedHealthcare Inc. used a flawed artificial intelligence (AI) program to deny care to senior patients using the company’s Medicare Advantage insurance, according to a new class action lawsuit.
The AI had a 90% erro…
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UnitedHealth Group is being sued for allegedly using an artificial intelligence algorithm to systematically deny elderly patients rehabilitative care.
The class action lawsuit, filed Tuesday in Minnesota district court, says the defendants …
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UnitedHealthcare is being sued for allegedly using unreliable artificial intelligence algorithms to wrongfully deny payment for post-acute managed care.
The three defendants named in the complaint filed Tuesday are UnitedHealth Group, its h…
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The estates of two deceased UnitedHealthcare Medicare Advantage policyholders say the insurance company is using an AI tool to illegally deny necessary coverage for post-acute care, including skilled nursing and home healthcare, to elderly …
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UnitedHealthcare, the largest health insurance provider in the US, is using an AI algorithm called nH Predict whose wildly inaccurate predictions are being used to deny health coverage to severely ill patients by cutting the time they can s…
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For years, vital decisions about who got medical care coverage took place in back offices at health insurance companies. Now, some of those life-altering decisions are being made by artificial intelligence programs.
At least that's the cont…
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UnitedHealthcare (UHC) is the latest payer accused of using artificial intelligence (AI) to deny patient claims by trading "real doctors' recommendations" for a flawed algorithm to save money.
In a class action suit filed this week in Minne…
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The families of two now-deceased former beneficiaries of UnitedHealth have filed a lawsuit against the health care giant, alleging it knowingly used a faulty artificial intelligence algorithm to deny elderly patients coverage for extended c…
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Health insurance companies cannot use algorithms or artificial intelligence to determine care or deny coverage to members on Medicare Advantage plans, the Centers for Medicare & Medicaid Services (CMS) clarified in a memo sent to all Medica…
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