Class Action Lawsuit Accuses UnitedHealthcare of Wrongfully Denying Coverage Using AI Algorithm for Elderly Patients’ Post-Acute Care Claims
MINNEAPOLIS (AP) — A recent class action lawsuit against UnitedHealthcare alleges that the health insurance provider wrongfully denied claims for post-acute care using an artificial intelligence (AI) algorithm. The plaintiffs claim that UnitedHealthcare’s use of the “nH Predict” AI algorithm led to the rejection of elderly patients’ claims for stays in skilled nursing-care facilities and in-home care. When these denials were appealed to federal administrative law judges, roughly 90% of them were overturned. This lawsuit follows a similar case earlier this year against health insurance company Cigna, where plaintiffs accused the company of automatically denying … Read more