GNAI Visual Synopsis: A group of concerned elderly individuals speaking with healthcare professionals in a hospital setting, evoking the need for personalized and empathetic care amidst technological advancements.
One-Sentence Summary
A class action lawsuit alleges that UnitedHealth Group used an AI algorithm with a 90% error rate to deny rehabilitative care to elderly patients covered by Medicare Advantage Plans. Read The Full Article
Key Points
- 1. The lawsuit accuses UnitedHealth Group of utilizing an AI model, nH Predict, with a reported 90% error rate to deny Medicare Advantage Plan patients necessary rehabilitative care recommended by their doctors.
- 2. More than 90% of patients who appealed the AI’s claim denial had the decision overturned, suggesting widespread erroneous denials.
- 3. The plaintiffs seek to represent tens of thousands of affected individuals and are pursuing damage claims that could reach billions of dollars.
Key Insight
The lawsuit unveils alleged systematic denial of care to elderly patients covered by Medicare Advantage Plans, highlighting the potential ethical and financial implications of AI-driven healthcare decision-making in large corporate settings.
Why This Matters
This article sheds light on the potential misuse of AI algorithms in determining patient care, raising concerns about the balance between technology and human expertise in healthcare decision-making, especially for vulnerable populations such as the elderly.
Notable Quote
“Defendants bank on the patients’ impaired conditions, lack of knowledge and lack of resources to appeal the erroneous AI-powered decisions.” – Lawsuit, as reported by TMJ4.
