Forbes November 27, 2023
Showing that traditional reporting can still retain its power, an exposé of an errant artificial intelligence-based algorithm has spurred a class action suit against UnitedHealth Group, operator of the nation’s largest Medicare Advantage plan.
The suit, spurred by a series of STAT investigative stories, accuses UnitedHealth of deploying an algorithm with a known high error rate in order to deny costly rehabilitation care to seriously ill patients. (United says the lawsuit “is without merit.”) In May a STAT story and an ongoing ProPublica investigative series, focusing on insurer claims denial tactics that in some cases have allegedly involved circumventing state laws mandating coverage of fertility or cancer treatments, sparked a Senate hearing.
Meanwhile, the New York Times and KFF Health...
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