Humana also using AI tool with 90% error rate to deny care, lawsuit claims
Ars Technica - 2023-12-14 - 6 min read
SummaryHumana, one of the nation's largest health insurers, is facing a lawsuit accusing it of using a high-error rate AI model called nH Predict to wrongly deny care to seniors in its Medicare Advantage plans. The lawsuit alleges that Humana's use of nH Predict is a fraudulent scheme that leaves beneficiaries either burdened with medical debt or without needed care. The plaintiffs also argue that the model fails to account for important factors such as individual circumstances and physician recommendations, resulting in inflexible and often incorrect predictions. Interestingly, this is not the first lawsuit of its kind, as UnitedHealth, the largest health insurance company in the US, was also sued for allegedly using a similar AI tool to deny care.
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