Skilled Nursing News December 13, 2023
In facing a class-action lawsuit for its use of artificial intelligence in denying claims for services to residents in post-acute care, Humana (NYSE: HUM) joins the ranks of other health insurance behemoths such United Healthcare and Cigna.
The complaint, filed late Tuesday, in a federal court in Kentucky, accuses Humana of using AI tools – instead of doctors’ recommendations – to deny medically necessary care to residents under Medicare Advantage Plans.
“Humana systematically deploys the AI algorithm to prematurely and in bad faith discontinue payment for healthcare services for elderly individuals with serious diseases and injuries. These elderly patients are left either with overwhelming medical debt, or without the medical care that they require,” the lawsuit notes.
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