Sunday, December 08, 2024

After Shooting, UHC Comes Under Scrutiny for AI Use

The use of AI tools in healthcare and by insurance providers has raised the question of whether high denial rates are a glitch -- or a feature.

Posted by lamplighter at 05:32 PM | 6 COMMENTS | permalink

More

After shooting, UnitedHealthcare comes under scrutiny for AI use in treatment approval #news #worldnews

[image or embed]

-- News HQ (@newshq.bsky.social) December 6, 2024 at 2:37 PM

Comments

More from the article...

... One motive floated by many is that the murder might be connected to high treatment rejection rates or UnitedHealthcare's (UHC) outright refusal to pay for some care. Healthcare providers and insurers have been automating responses to care requests using generative AI (genAI) tools, which have been accused of producing high denial of care rates, in some cases, 16 times higher than is typical.

UHC uses a genAI tool called nH Predict, which has been accused in a lawsuit of prematurely discharging patients from care facilities and forcing them to exhaust their savings for essential treatment. The lawsuit, filed last year in federal court in Minnesota, alleges UHC illegally denied Medicare Advantage care to elderly patients by using an AI model with a 90% error rate, overriding doctors' judgments on the medical necessity of expenses. ...


#1 | Posted by LampLighter at 2024-12-08 03:01 PM

Sounds like the death panels Sarah Palin was so worried about.

#2 | Posted by mattm at 2024-12-08 04:28 PM

@#2 ... Sounds like the death panels Sarah Palin was so worried about. ...

Yup.

A while ago, I questioned those who argued against about universal health insurance. They were saying that they did not want the government making health decision for them.

At the time, I noted that we were currently ceding that decision to the wealthy-owned, for-profit health insurance companies.

Now it appears the cows have come home to roost ....


#3 | Posted by LampLighter at 2024-12-08 07:34 PM

Anyone else wondering if the healthcare shooter's name and identity are not being released because the law and order folks are fearful of creating a working class hero, a realtime "Joker"?

#4 | Posted by Hughmass at 2024-12-09 07:50 AM

#4

I think you're giving the pigs too much credit. I don't think they have a name, and with essentially the whole country refusing to help them, they aren't likely to know it any time soon.

The pic they released that shows a face isn't the same guy.

#5 | Posted by DarkVader at 2024-12-09 11:57 AM

"In America, we do not kill people in cold blood to resolve policy differences or express a viewpoint. I understand people have real frustration with our health care system and I have worked to address that throughout my career. I have no tolerance, nor should anyone, for one man using an illegal ghost gun to murder someone because he thinks his opinion matters most."

Shapiro added: "In a civil society, we are all less safe when idealogues engage in vigilante justice. In some dark corners, this killer is being hailed as a hero. Hear me on this: he is no hero."

#6 | Posted by Alexandrite at 2024-12-09 11:09 PM

Drudge Retort Headlines

Hegseth's Proposed Pentagon Cuts, Firing of Generals (68 comments)

Target Sued by Florida for Defrauding Shareholders About DEI (48 comments)

Economist: Musk is About to Cause a 'Deep, Deep Recession' (39 comments)

Musk Emails Demand to Entire Federal Workforce (38 comments)

U.S. and Ukraine Appear to Move Closer to Deal for Minerals (31 comments)

Dow Plunges over 700 Points as Inflation and Tariff Fears Mount (26 comments)

Military Families Rocked By Trump's Government Cuts (23 comments)

MSNBC Cancels Joy Reid's Show (17 comments)

Trump's Presidency Is a Mess of Contradictions (17 comments)

Liz Cheney Offers JD Vance Some Advice (16 comments)