Is Your Health Insurance Company Denying You Care Because of a Flawed AI?
#shorts #Stat News #UnitedHealth #AI #NaviHealth
Health insurance company UnitedHealth got sued because its AI algorithm was so inaccurate, it denied patients’ claims for medical care that they actually needed. 90% of the claims were reversed when patients appealed.
“That’s not clinical decision-making,” said healthcare markets analyst Spencer Perlman. “That’s aggregating data and using an algorithm to make a decision that has nothing to do with the individual themselves.”
“Length of stay is not some biological variable,” said physician Ziad Obermeyer. “It’s just how long a patient stays in the hospital. There’s no reason an algorithm should be used to decide that.”
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