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Keyword: aialgorithms

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  • UnitedHealthcare accused of relying on AI algorithms to deny Medicare Advantage claims

    12/15/2024 8:36:30 PM PST · by SeekAndFind · 35 replies
    Fox Business News via MSN ^ | 12/13/2024 | Daniela Genovese
    Democrats on a Senate subcommittee are accusing UnitedHealthcare Group of denying claims to a growing number of patients as it tried to leverage artificial intelligence to automate the process. In an October report, "How Medicare Advantage Insurers Have Denied Patients Access to Post-Acute Care," Democrats on the U.S. Senate Permanent Subcommittee on Investigations (PSI) released a report claiming UnitedHealthcare’s prior authorization denial rate for post-acute care jumped from 10.9% in 2020 to 22.7% in 2022. Denial rates for skilled nursing centers, in particular, "experienced particularly dramatic growth." The number of denied claims in 2022 was nine times higher compared to...