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Denial Of Care

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"Insurance Giant Humana Faces Lawsuit Over AI Algorithm Denying Care to Seniors"
healthcare2 years ago

"Insurance Giant Humana Faces Lawsuit Over AI Algorithm Denying Care to Seniors"

Humana, one of the largest health insurance providers in the US, is facing a lawsuit alleging that it is using an AI model with a 90% error rate to wrongfully deny care to elderly people on its Medicare Advantage plans. The lawsuit claims that Humana's use of the AI model constitutes a "fraudulent scheme" that leaves beneficiaries with overwhelming medical debt or without necessary care. This is the second lawsuit targeting the use of the AI tool, nH Predict, with the previous suit filed against UnitedHealth. The plaintiffs argue that the model fails to consider patients' individual circumstances and doctors' recommendations, resulting in draconian and inflexible predictions. The lawsuit seeks class-action status and damages for financial losses and emotional distress.