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Murdered Insurance CEO Implemented AI System to Automatically Deny Benefits for Sick Patients
Democrats on a Senate subcommittee are accusing UnitedHealthcare of using artificial intelligence (AI) to deny claims from Medicare Advantage patients. In a report released in October, the U.S. Senate Permanent Subcommittee on Investigations (PSI) said that UnitedHealthcare’s rate of denying claims for post-acute care jumped from 10.9% in 2020 to 22.7% in 2022. Denials for ... Read more
In a report released in October, the U.S. Senate Permanent Subcommittee on Investigations (PSI) said that UnitedHealthcare’s rate of denying claims for post-acute care jumped from 10.9% in 2020 to 22.7% in 2022. The report also pointed out that United processed more home health service authorizations, which cost less, suggesting the company was pushing patients toward cheaper alternatives rather than post-acute care facilities. The report highlighted a decision made by UnitedHealthcare in April 2021, where the company approved using a system named “Machine Assisted Prior Authorization” to speed up the review of medical requests.
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