Get the latest tech news

New AI tool counters health insurance denials decided by automated algorithms

Class-action lawsuits allege algorithms turn down claims in seconds and critics say reform is needed for lasting change

That figure tracks with a survey by the non-profit KFF, which found less than 0.2% of people purchasing insurance through HealthCare.gov appeal in-network claims that are denied. “Nobody loves the system we had a few years ago – which also used algorithms, just simpler ones,” said Michelle Mello, professor of health policy at the Stanford University School of Medicine. Most denials happen because of mistakes in filling out or filing the form, Andrew Witty, CEO of UnitedHealth Group, said last week on an earnings call during which executives said UnitedHealthcare’s revenues in 2024 neared $300bn, with the company expecting that figure to rise to $340bn in 2025.

Get the Android app