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UnitedHealthcare uses AI that wrongfully denies '90%' of claims
BeneftsPro ^
| 11/16/2023
| Alan Goforth
Posted on 11/19/2023 7:37:12 PM PST by anthropocene_x
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The future of Healthcare with AI.
UnitedHealth has been a major "donor" to legislators friendly to them from both wings of the Uniparty.
To: anthropocene_x
2
posted on
11/19/2023 7:42:32 PM PST
by
gattaca
(Once a nation loses control of its borders, it is no longer a nation...Ronald Reagan)
To: anthropocene_x
United Healthcare has been doing this for years. They developed an algorithm that is black box proprietary, which does not follow any established guidelines. If United Healthcare disappeared tomorrow, nobody would shed a tear outside of the shareholders.
UNH stock price is $536.29 per share, up 102% in the past five years.
3
posted on
11/19/2023 7:46:40 PM PST
by
NautiNurse
(🇺🇸)
To: anthropocene_x
4
posted on
11/19/2023 7:47:56 PM PST
by
EinNYC
(!!)
To: anthropocene_x
And you think that Skynet was fiction?
5
posted on
11/19/2023 7:51:21 PM PST
by
Don W
(When blacks riot, neighborhoods and cities burn. When whites riot, nations and continents burn)
To: anthropocene_x
The best defense against United Healthcare is .... stay healthy with regular exercise. It is working for me!
6
posted on
11/19/2023 7:53:40 PM PST
by
entropy12
(Career politicians like Desantis build wealth. Trump sacrificed his wealth to srve peoe. GO TRUMP)
To: anthropocene_x
Perhaps this is one reason for my large medical group canceling their UnitedHealthcare Medicare Advantage contract.
7
posted on
11/19/2023 7:54:22 PM PST
by
jimtorr
To: anthropocene_x
Wrongfully???
It’s the plan.
To: NautiNurse
Is Pfizer still rising?
LOL.
9
posted on
11/19/2023 8:00:01 PM PST
by
lightman
(I am a binary Trinitarian. Deal with it!)
To: anthropocene_x
Cigna is being sued for the same thing, and it’s true, they have refused my simple claim that is explicitly approved. The claims people jeep saying it is covered and sending it back through, and it’s refused again.
10
posted on
11/19/2023 8:01:48 PM PST
by
ConservativeMind
(Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
To: ConservativeMind
Anthem BCBS is another health insurer which plays dirty tricks to avoid payments. However, United Healthcare is the worst of the dirty lot.
11
posted on
11/19/2023 8:05:31 PM PST
by
NautiNurse
(🇺🇸)
To: anthropocene_x
Here’s how insurance companies make money:
1) Collect ever increasing premiums
2) Deny as many claims as possible
3) Slough potentially costly customers
12
posted on
11/19/2023 8:14:07 PM PST
by
lightman
(I am a binary Trinitarian. Deal with it!)
To: anthropocene_x
I was watching an exposé of how and why coverage is denied for healthcare claims and it turns out many of the companies do not even do their own dirty work. They farm it out. The people they farm it to figured out that they get paid every time they process a claim. Denied or approved. So if they deny and then approve they get paid twice for processing the same claim.
The one that stuck out was a man had both legs amputated. His doctor prescribed a wheelchair as medical equipment. It was denied because she had not tried physical therapy first. I was unaware that physical therapy could cause legs to regrow. Truly we live in a age of marvels.
Actually the last part is true. We do live in an age of medical marvels. But we also live in a age where you may be taking something for years and suddenly your doctor has to fill out a bunch of forms about why you still "need" it. While the process is happening you will be denied your blood thinner, heart medicine, thyroid medicine or other such items while a collection of bureaucrat with no medical training decide if you actually "need" it.
13
posted on
11/19/2023 8:15:53 PM PST
by
Harmless Teddy Bear
(Keep America Beautiful by keeping Canadian Trash Out. Deport Jennifer Granholm!)
To: anthropocene_x
Stay OUT of Medicare Advantage plans.
To: anthropocene_x
Whatever system they devise, health insurers should be liable for a pattern of wrongful denials. They chose either AI or subcontractors, and they should not be able to avoid personal liability. I would like to see a case that holds otherwise.
To: LongWayHome
"Stay OUT of Medicare Advantage plans." ************************************************
They push these plans so hard because they benefit the insurers and not the patients. You should never choose one of these plans.
16
posted on
11/19/2023 9:20:05 PM PST
by
Neanderthal
("Knowledge is good" - Emil Faber)
To: anthropocene_x
AI always was about killing homo sapiens.
Some folks just didn’t get the memo yet.
17
posted on
11/19/2023 9:36:53 PM PST
by
cgbg
("Creative minds have always been known to survive any kind of bad training." Anna Freud.)
To: Harmless Teddy Bear
The one that stuck out was a man had both legs amputated. His doctor prescribed a wheelchair as medical equipment. It was denied because she had not tried physical therapy first. I was unaware that physical therapy could cause legs to regrow. Truly we live in a age of marvels. Sounds like something the $hot $hill$ would try.
Because SCIENCEâ„¢!
18
posted on
11/19/2023 9:54:10 PM PST
by
grey_whiskers
( The opinions are solely those of the author and are subject to change without notice.)
To: anthropocene_x
United Healthcare uses AI that wrongfully denies '90%' of claims..Insurance companies have always made their money by not paying claims. This is nothing new.
To: LongWayHome
Stay OUT of Medicare Advantage plans.My wife and I have had a Medicare Advantage plan (United Health Care) for 10 years and they have covered everything.
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