Posted on 12/05/2024 11:22:43 AM PST by EBH
Just over a year before United Healthcare CEO Brian Thompson was murdered this week in Midtown Manhattan, a lawsuit filed against the insurance giant he helmed revealed just how draconian its claims-denying process had become.
Last November, the estates of two former UHC patients filed suit in Minnesota alleging that the insurer used an AI algorithm to deny and override claims to elderly patients that had been approved by their doctors.
The algorithm in question, known as nH Predict, allegedly had a 90 percent error rate — and according to the families of the two deceased men who filed the suit, UHC knew it.
As that lawsuit made its way through the courts, anger regarding the massive insurer's predilection towards denying claims has only grown, and speculation about the assassin's motives suggests that he may have been among those upset with UHC's coverage.
(Excerpt) Read more at yahoo.com ...
A company using AI?
That’s the new thing now
Just what we don’t need. Psycho-killers who think they are justified.
Interesting. Is this a case of somebody “taking out the trash”?
I am not justifying the murder in the least, just noting at some point the peasants will revolt when the aristocracy becomes so removed from the people. This is French Revolution level disassociation
Everything coming out is pushing the disgruntled customer as the motive but I just heard this guy was able to implicate Pelosi for inside trading he was being investigated for and Pelosis trading around the same time is mighty suspicious.
known as nH Predict, allegedly had a 90 percent error rate
what is interesting to me is the same leftists that oppose the death penalty even for mass murderers are AOK with this killing.
Justified?
We must protect these insurance giants in their billion dollar towers because they’re all above board, legitimate and those people would never do anything unethical.
To use AI is dirty pool, because it can search the entire agreement for a dot or tittle to be able to deny the coverage, whereas it would be a lot harder for a person to cover himself.
His company had like twice, at least, the denials that the industry average had.
and it was wrong 90% of the time...
Cigna did something with AI on dental benefits and denied legitimate claims.
I could only get one of two checked by a human to get it paid.
We plan to never use Cigna again.
Should have happened long ago. Big gov, big insurance and big health are ripping off the people 24/7.
Yep, and knowingly using that to override the doctors of patients who subsequently died is good grounds for a lawsuit.
>A company using AI?
>That’s the new thing now
The IRS is definitely using it. They knew within a window how much I owed from all my various freelance jobs and told me through various hints that AI had probably looked at my bank account transactions by SSNs and calculated a window of income they could tax me for reliably.
I agree. A person has no chance against AI, where AI can scan a 1000 page document for a dot or tittle that allows the company an out of having to cover.
I like the free market, but you need the spirit of good will for it to work. This guy, my guess, was not working in a good will fashion but how to screw the customers where he could.
You may walk up to a 300 lb gorilla on the street and cuss him out legally based on your rights to free speech but don't expect walk away Scott free. You're probably going to get thrashed.
“Everything coming out is pushing the disgruntled customer as the motive but I just heard this guy was able to implicate Pelosi for inside trading he was being investigated for and Pelosis trading around the same time is mighty suspicious.”
That would make more sense than the denial of claims motivation. It reeks of the Clintonista method of eliminating “witnesses”.
“ To use AI is dirty pool,”
It’s being used for everything.
Can’t blame a business for using a tool to automate a process .
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