A HEALTHCARE NIGHTMARE: UnitedHealthcare Sued Over Faulty AI Denying Healthcare Claims!
In a shocking turn of events, the nation’s largest health insurance provider, UnitedHealthcare, is facing a lawsuit over its alleged use of a flawed AI model to deny health coverage to elderly patients in need of long-term care.
The lawsuit claims that UnitedHealth repeatedly refused to pay the healthcare claims of two elderly Medicare Advantage Plan patients, leaving their families with a combined $210,000 out-of-pocket bill for therapy and care. The suit alleges that this has been happening since at least 2020, when UnitedHealthcare acquired post-acute care management firm Navihealth and began using the nH Predict AI algorithm.
The nH Predict algorithm, developed by Navihealth, has been accused of having a staggering 90% error rate and overruling the medical opinions of physicians. It is said to have failed to account for individual patient needs, leading to shortened coverage periods and unnecessary financial burdens for patients and their families.
Disturbingly, former NaviHealth employees also revealed that post-acute care times were intentionally kept short to benefit the company, rather than prioritizing the well-being of the patients.
What are your thoughts on this healthcare scandal? Do you think the use of AI in healthcare decision-making can be trusted, or does it present a dangerous risk to patients? Let us know in the comments!
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