Humana’s Alleged Use of AI to Deny Claims Draws Class Action

Health insurer Humana Inc. is facing a class action alleging it used artificial intelligence to deny elderly patients care, the latest legal action over the use of advanced technology in making care determinations.

Filed in the US District Court for the Western District of Kentucky, the complaint accuses Humana of using AI to override doctors’ recommendations and deny care owed to elderly patients under their Medicare Advantage Plans.

The AI, the lawsuit said, renders predictions Humana knows to be “highly inaccurate,” though the insurer “continues to systemically use this flawed AI model to deny claims because they know that only ...