Free Republic
Browse · Search
News/Activism
Topics · Post Article

The future of Healthcare with AI.

UnitedHealth has been a major "donor" to legislators friendly to them from both wings of the Uniparty.

1 posted on 11/19/2023 7:37:12 PM PST by anthropocene_x
[ Post Reply | Private Reply | View Replies ]


Navigation: use the links below to view more comments.
first 1-2021-22 next last
To: anthropocene_x

ping


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)
[ Post Reply | Private Reply | To 1 | View Replies ]

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 (🇺🇸)
[ Post Reply | Private Reply | To 1 | View Replies ]

To: anthropocene_x

They are scum!


4 posted on 11/19/2023 7:47:56 PM PST by EinNYC (!!)
[ Post Reply | Private Reply | To 1 | View Replies ]

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)
[ Post Reply | Private Reply | To 1 | View Replies ]

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)
[ Post Reply | Private Reply | To 1 | View Replies ]

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
[ Post Reply | Private Reply | To 1 | View Replies ]

To: anthropocene_x

Wrongfully???

It’s the plan.


8 posted on 11/19/2023 7:58:45 PM PST by Ronaldus Magnus III (Do, or do not, there is no try)
[ Post Reply | Private Reply | To 1 | View Replies ]

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.)
[ Post Reply | Private Reply | To 1 | View Replies ]

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!)
[ Post Reply | Private Reply | To 1 | View Replies ]

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!)
[ Post Reply | Private Reply | To 1 | View Replies ]

To: anthropocene_x

Stay OUT of Medicare Advantage plans.


14 posted on 11/19/2023 8:36:23 PM PST by LongWayHome
[ Post Reply | Private Reply | To 1 | View Replies ]

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.


15 posted on 11/19/2023 8:37:20 PM PST by csn vinnie
[ Post Reply | Private Reply | To 1 | View Replies ]

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.)
[ Post Reply | Private Reply | To 1 | View Replies ]

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.

19 posted on 11/19/2023 10:13:32 PM PST by rexthecat
[ Post Reply | Private Reply | To 1 | View Replies ]

To: anthropocene_x

UnitedHealthcare was denying 90% of initial claims before AI, All they did was take the human out of the loop.


21 posted on 11/19/2023 11:12:46 PM PST by Spktyr (Overwhelmingly superior firepower and the willingness to use it is the only proven peace solution.)
[ Post Reply | Private Reply | To 1 | View Replies ]

To: anthropocene_x

The whole thing is a crap shoot. I have regular Medicare and can’t get them to cover blood work. Friends of ours with similar medical conditions, never have a problem getting blood work covered.


22 posted on 11/19/2023 11:56:50 PM PST by 11th_VA (<>< Good News: Barbarians at not at the gate; Bad News: They’re in the city)
[ Post Reply | Private Reply | To 1 | View Replies ]

To: anthropocene_x

AI means no one is responsible, move on, perfect for the rats and all those in control


23 posted on 11/20/2023 1:45:21 AM PST by ronnie raygun
[ Post Reply | Private Reply | To 1 | View Replies ]

To: anthropocene_x

Doctors don’t advocate for patients AT ALL anymore— if pre certification is denied. It’s up to patient who often does not have enough knowledge to challenge, is too sick old or infirm, or doesn’t have the time or energy to keep fighting the system. Health insurance for many is a joke- it is working when few people are able to fight for their rights and most requests are denied. I would love to see no health insurance and true pay as you go at real life competitive pricing with tax deferred health savings accounts to use to pay. I refuse to engage system unless absolutely have to because I simply don’t have the mental energy to keep fighting the system that wants me sick. So if I absolutely need something I pay for it. I dread upcoming medicare bullshit that penalizes you for not using it


24 posted on 11/20/2023 2:41:02 AM PST by dkGba
[ Post Reply | Private Reply | To 1 | View Replies ]

To: anthropocene_x

Another reason to avoid Medicare Advantage plans.

AND United Healthcare.

I believe the payment problems are fewer with a traditional medicare and a supplemental because medicare pays first.


25 posted on 11/20/2023 4:00:18 AM PST by Adder (End fascism...defeat all Democrats.)
[ Post Reply | Private Reply | To 1 | View Replies ]

To: anthropocene_x

United has been using AI for years to not pay or delay payments to providers


27 posted on 11/20/2023 4:57:29 AM PST by bert ( (KWE. NP. N.C. +12) Joe Biden is a kleptocrat)
[ Post Reply | Private Reply | To 1 | View Replies ]


Navigation: use the links below to view more comments.
first 1-2021-22 next last

Free Republic
Browse · Search
News/Activism
Topics · Post Article


FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson