United Healthcare Rehab Algorithm

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UnitedHealth pushed employees to follow an algorithm to cut off …

(2 days ago) WebInternal documents show that a UnitedHealth subsidiary called NaviHealth set a target for 2023 to keep rehab stays of patients in Medicare Advantage plans within 1% of the days projected by the

https://www.statnews.com/2023/11/14/unitedhealth-algorithm-medicare-advantage-investigation/

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UnitedHealth sued over use of algorithm in Medicare Advantage …

(9 days ago) WebUnitedHealth pressured its medical staff to cut off rehab care for seriously ill patients in lockstep with a computer algorithm’s calculations.; UnitedHealth is also …

https://www.statnews.com/2023/11/14/unitedhealth-class-action-lawsuit-algorithm-medicare-advantage/

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A letter from the executive editor: STAT UnitedHealth investigation

(7 days ago) WebWe reveal that the nation’s largest health insurance company pursued a strategy to pressure its medical staff to cut off payments for seriously ill patients in …

https://www.statnews.com/2023/11/14/unitedhealth-algorithm-rick-berke-letter/

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UnitedHealth uses AI model with 90% error rate to deny care, …

(5 days ago) WebEnlarge / UnitedHealthcare (UHC) health insurance company signage is displayed on an office building in Phoenix on July 19, 2023. UnitedHealthcare, the …

https://arstechnica.com/health/2023/11/ai-with-90-error-rate-forces-elderly-out-of-rehab-nursing-homes-suit-claims/

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UnitedHealth sued over use of algorithm to deny care for MA …

(7 days ago) WebUnitedHealth sued over use of algorithm to deny care for MA members The lawsuit alleges UnitedHealth used nH Predict to deny claims despite the algorithm’s …

https://www.healthcaredive.com/news/unitedhealth-algorithm-lawsuit-care-denials/699834/

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UnitedHealth AI algorithm allegedly led to Medicare Advantage …

(4 days ago) WebA STAT investigation, which was cited in the lawsuit, suggests UnitedHealth pressured employees to use the algorithm to issue payment denials to those on …

https://www.healthcarefinancenews.com/news/unitedhealth-ai-algorithm-allegedly-led-medicare-advantage-denials-lawsuit-claims

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Care Denials By UnitedHealth Were Driven By Algorithms, Staff …

(1 days ago) WebThe nation’s largest health insurance company pressured its medical staff to cut off payments for seriously ill patients in lockstep with a computer algorithm’s …

https://kffhealthnews.org/morning-breakout/care-denials-by-unitedhealth-were-driven-by-algorithms-staff-allege/

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UnitedHealth pushed employees to follow an algorithm to cut off

(3 days ago) WebUnitedHealth pushed employees to follow an algorithm to cut off Medicare patients’ rehab care By Casey Ross and Bob Herman STAT, Updated November 14, …

https://www.bostonglobe.com/2023/11/14/metro/stat-unitedhealth-algorithm/

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UnitedHealth faces lawsuit over AI algorithm that allegedly denied …

(2 days ago) WebThe focal point of the lawsuit is an AI algorithm called nH Predict, developed by NaviHealth, a company acquired by UnitedHealth in 2020. The algorithm is …

https://healthexec.com/topics/healthcare-management/healthcare-policy/unitedhealth-lawsuit-ai-medicare-advantage

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UnitedHealth pushed staff to follow an insurance payment …

(5 days ago) WebNew reporting from STAT says the nation’s largest insurer, UnitedHealth Group, pushed staff to limit insurance payments by strictly following calculations by an …

https://www.wbur.org/hereandnow/2023/11/21/unitedhealth-insurance-algorithm

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UnitedHealth uses faulty AI to deny elderly patients medically

(9 days ago) WebImplementing AI algorithms may help health insurance companies automate between 50% and 75% of the manual work involved in approving insurance …

https://www.cbsnews.com/news/unitedhealth-lawsuit-ai-deny-claims-medicare-advantage-health-insurance-denials/

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UnitedHealth sued over algorithm-based care denials for Medicare …

(6 days ago) WebA class action lawsuit has been filed in Minnesota against UnitedHealth Group ( NYSE: UNH) over allegations that the health insurer and its subsidiary, NaviHealth, used a …

https://www.msn.com/en-us/money/companies/unitedhealth-sued-over-algorithm-based-care-denials-for-medicare-members/ar-AA1jXQZ5

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UnitedHealth abruptly reversed restrictions on Medicare rehab …

(4 days ago) WebThat scrutiny came after a series of STAT stories exposed UnitedHealth’s practices of pressuring employees to follow an algorithm to cut off care for sick and …

https://www.statnews.com/2023/12/28/medicare-advantage-united-health-navihealth-rehab-care-restrictions/

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

(6 days ago) WebTRACK DOCKET: 23-cv-03514. Health insurer UnitedHealthcare is facing a class action alleging it used an artificial intelligence algorithm to wrongfully deny …

https://news.bloomberglaw.com/health-law-and-business/unitedhealthcare-accused-of-using-ai-to-wrongfully-deny-claims

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Lawsuit claims UnitedHealth AI wrongfully denies elderly extended …

(2 days ago) WebUnitedHealth Group Inc uses an artificial intelligence algorithm that systematically denies elderly patients' claims for extended care such as nursing facility …

https://www.reuters.com/legal/lawsuit-claims-unitedhealth-ai-wrongfully-denies-elderly-extended-care-2023-11-14/

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UnitedHealth pushed employees to follow an algorithm to cut off

(Just Now) WebThe nation's largest health insurance company pressured its medical staff to cut off payments for seriously ill patients in lockstep with a computer algorithm's …

https://www.healthleadersmedia.com/payer/unitedhealth-pushed-employees-follow-algorithm-cut-medicare-patients-rehab-care

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Is your health insurer using AI to deny you services? Lawsuit says

(9 days ago) WebThe UnitedHealth lawsuit states that the company limited workers' "discretion to deviate" from the algorithm. Employees who deviated from the AI program's …

https://www.usatoday.com/story/news/health/2023/11/19/unitedhealth-artificial-intelligence-denies-claims-in-error-lawsuit-says/71579822007/

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Lawsuits take aim at use of AI tool by health insurance - CBS News

(Just Now) WebUse of AI by Humana, United Healthcare. NHPredicts is a computer program created by NaviHealth, a subsidiary of United Heathcare, that develops …

https://www.cbsnews.com/news/health-insurance-humana-united-health-ai-algorithm/

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UnitedHealth acquisition of Medicare Advantage algorithm fueled …

(8 days ago) WebHow UnitedHealth’s acquisition of a popular Medicare Advantage algorithm sparked internal dissent over denied care. By Casey Ross and Bob Herman. Eros …

https://www.statnews.com/2023/07/11/medicare-advantage-algorithm-navihealth-unitedhealth-insurance-coverage/

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Clinical Guidelines UHCprovider.com

(4 days ago) WebClinical Guidelines. The materials provided to you are guidelines used by this plan to authorize, modify, or deny care for persons with similar illnesses or conditions. …

https://www.uhcprovider.com/en/policies-protocols/clinical-guidelines.html

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Substance Use Helpline UnitedHealthcare

(1 days ago) WebWhether you're concerned about yourself or a loved one, you can call the 24-hour Substance Use Helpline at 1-855-780-5955, TTY 711 to talk to a specialized substance …

https://www.uhc.com/member-resources/health-care-programs/substance-use

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UnitedHealth’s rehab restrictions, Texas medical school drama, and

(3 days ago) WebThroughout 2023, my colleague Casey Ross and I explored how UnitedHealth Group and its care management subsidiary, NaviHealth, have used an algorithm to cut …

https://www.statnews.com/2024/01/02/unitedhealth-rehab-restriction-health-care-inc/

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