Home Health Care News December 13, 2023
A class-action lawsuit was filed against Humana Inc. (NYSE: HUM) in Kentucky on Tuesday. The company is the latest insurer under fire over its alleged utilization of AI to dictate or deny post-acute care.
Humana Medicare Advantage (MA) beneficiaries, specifically, filed the lawsuit, alleging that the company illegally used algorithms to limit post-acute care services. The algorithm tool in question is known as “nH Predict.”
Based in Louisville, Humana is one of the largest insurers in the country. It has nearly 6 million MA beneficiaries. The company also owns CenterWell Home Health, one of the largest home health providers in the country.
“Humana systematically deploys the AI algorithm to prematurely and in bad faith discontinue payment for...
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