UnitedHealthcare Accused of AI Use to Wrongfully Deny Claims (1)

Health insurer UnitedHealthcare is facing a class action alleging it used an artificial intelligence algorithm to wrongfully deny coverage to elderly people for care under their Medicare Advantage health policies.

Filed Tuesday in the US District Court for the District of Minnesota, the lawsuit alleges UnitedHealthcare made health-care determinations via its “nH Predict” algorithm, overrode physician recommendations, and denied elderly patients’ claims for stays in extended care facilities. Doing so “resulted in a significant increase in the number of post-acute care coverage denials,” the lawsuit said.

The lawsuit follows a class action brought earlier this year against health insurer Cigna. ...