Becker's Healthcare November 15, 2023
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.
The class action, filed by public interest law firm Clarkson Law Firm in the U.S. District Court for the District of Minnesota on Nov. 14, claims UnitedHealth made care determinations via its “nH Predict” algorithm, overriding physician recommendations and denied elderly patients’ claims for treatment in extended care facilities. The suit alleges that UnitedHealth “[banks] on the patients’ impaired conditions, lack of knowledge and lack of resources to appeal the erroneous AI-powered decisions.”
A spokesperson for naviHealth, creator of...
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