UnitedHealth sued for allegedly using
AI to deny elderly patients care
WEWS-TV (Cleveland),
by
Alex Arger
Original Article
Posted By: OhioNick,
11/17/2023 3:05:26 AM
UnitedHealth Group is being sued for allegedly using an artificial intelligence algorithm to systematically deny elderly patients rehabilitative care.
The class action lawsuit, filed Tuesday in Minnesota district court, says the defendants — UnitedHealth Group, UnitedHealthCare and NaviHealth — illegally used an AI model called nH Predict in place of medical professionals despite knowing it had a 90% error rate. This helped the group continuously deny Medicare Advantage Plan patients the care their doctors said was necessary, such as nursing facility stays, by "predicting" what a patient "should" require instead of what they actually do, the lawsuit states.
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Reply 1 - Posted by:
PChristopher 11/17/2023 4:52:34 AM (No. 1600065)
My primary care doctor once said that United were basically the bottom feeders of the insurance world...this proves it.
40 people like this.
Reply 2 - Posted by:
Strike3 11/17/2023 5:12:25 AM (No. 1600071)
They mistakenly call it Artificial Intelligence but a 90% error rate makes it severely retarded. Since the error rate is in their favor, I call it planned criminal behavior, like many insurance agencies have been engaged in for decades. Insurance industry reform should have been the first aspect addressed in the overall concept of health care reform but the huge donations to the democrat party are too hard to resist.
52 people like this.
Reply 3 - Posted by:
Krause 11/17/2023 7:12:02 AM (No. 1600097)
AARP and United Health Care are tied together, I believe.
44 people like this.
Reply 4 - Posted by:
Rinktum 11/17/2023 7:18:26 AM (No. 1600102)
Just this week we had a family member have to navigate the insurance nightmare. It is ridiculous the steps you have to go through to get a needed procedure done. These are not trivial matters either, they are matters of life and death but it seems to leave the medical profession unmoved. They are so chained to insurance protocols that surgeries may be set out for months. There are so many steps the patient has to take. Meet with the primary care physician, meet with the surgeon, then meet with another surgeon, meet with the nurse practitioner several times, and it just goes on from there. By the time you are ready for surgery it has been months since you first saw your doctor about the issue. What do doctors say if you complain, they can’t do anything about it because they must follow the insurance protocols. This is ridiculous and leaves the patient frustrated and anxious.
Health care in this country has taken a nose dive since Obamacare. The art of medicine has turned into the tyranny of insurance.
62 people like this.
Reply 5 - Posted by:
Daisymay 11/17/2023 8:22:12 AM (No. 1600145)
How convenient this article would come out just at the time People are deciding which Healthcare Group they want to go with. I am 82, I've had United Healthcare Advantage for years. It's a PPO Plan that allows me to see any Doctor I choose. I have had ER visits, Hospital Stays, Doctor Visits and MRI's and all have been paid without a problem. Right now, United is the number One Group in the US. There is a reason for that!
29 people like this.
Reply 6 - Posted by:
FunOne 11/17/2023 9:19:23 AM (No. 1600175)
United Health Care is United Don't Care. It was the healthcare offering of my previous employer. I have chronic pain and they refused to provide a spinal cord stimulator implant that would give me relief because of the high cost. As far as healthcare is concerned, they are bottom feeders.
13 people like this.
Reply 7 - Posted by:
joew9 11/17/2023 10:03:40 AM (No. 1600202)
Probably not AI. Rather just a series of logic if the else statements and a score.
10 people like this.
Reply 8 - Posted by:
padiva 11/17/2023 11:26:58 AM (No. 1600259)
I have Aetna Medicare Advantage. I like this company. No problems when I needed plastic surgery. I get about $500 worth of OTC mail order stuff from CVS per year.
6 people like this.
Reply 9 - Posted by:
DVC 11/17/2023 11:34:15 AM (No. 1600265)
How to save money by killing old people. Some day, one might look up the individuals who decided to kill him or his family and "thank" them.
7 people like this.
Reply 10 - Posted by:
mifla 11/17/2023 11:48:11 AM (No. 1600280)
Sounds like one of those death panels Sarah was talking about.
22 people like this.
Reply 11 - Posted by:
lynngirl122 11/18/2023 8:54:29 AM (No. 1600771)
I am battling Blue Cross over covering a routine annual eye examination. They are trying to redefine the word "routine."
11 people like this.
Reply 12 - Posted by:
Dodge Boy 11/18/2023 9:10:36 AM (No. 1600780)
#4, it is even worse in Canada. My brother and his family live in central B.C. The medical system there is pathetic. It can take months to schedule a surgery and a year to actually get the surgery done. Many senior Canadian die as a result. All medical services are rationed. There is a chronic shortage of medical doctors, ophthalmologists, and dentists. My brother reports that many Canadian travel to Mexico for their dentistry and vision needs because the patient backlog in Canada is horrible. Everybody in Canada complains about the country's medical services, yet they all happily installed another Trudeau in Ottawa.
15 people like this.
Reply 13 - Posted by:
Zigrid 11/18/2023 9:59:49 AM (No. 1600828)
As an older citizen with medicare I watch carefully what is prescribed and where I need to go for service...I know the government has put pressure on doctors to follow their line of thinking and deny patients what they need....holding student loans over their heads...best to stay as self sufficient as possible.......
14 people like this.
Reply 14 - Posted by:
Lawsy0 11/18/2023 11:46:51 AM (No. 1600904)
At last! Barack Obama's dream has come true. A better way to Throw Mama From the Train has finally been activated. Error, smerror, who cares as long as it works 1%? Getting rid of Granny and PaPa is the main thing. Never mind that the Arch Evil Sorceress Hillary kept the dream alive for the neo-Nazi regime. Elder abortion wasn't gonna fly, so call it Health Care. AI? EIEIO? What's the diff?
9 people like this.
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