{"id":1211923,"date":"2023-12-13T16:40:34","date_gmt":"2023-12-13T21:40:34","guid":{"rendered":"https:\/\/www.prime-wow.com\/?p=1211923"},"modified":"2023-12-13T16:40:34","modified_gmt":"2023-12-13T21:40:34","slug":"humana-also-using-ai-tool-with-90-error-rate-to-deny-care-lawsuit-claims","status":"publish","type":"post","link":"https:\/\/www.prime-wow.com\/?p=1211923","title":{"rendered":"Humana also using AI tool with 90% error rate to deny care, lawsuit claims"},"content":{"rendered":"
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Enlarge<\/a> \/<\/span> Signage is displayed outside the Humana Inc. office building in Louisville, Kentucky, US, in 2016. (credit: Getty | Luke Sharrett<\/a>)<\/p>\n<\/figure>\n

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Humana, one the nation’s largest health insurance providers, is allegedly using an artificial intelligence model with a 90 percent error rate to override doctors’ medical judgment and wrongfully deny care to elderly people on the company’s Medicare Advantage plans.<\/p>\n

According to a lawsuit<\/a> filed Tuesday, Humana’s use of the AI model constitutes a “fraudulent scheme” that leaves elderly beneficiaries with either overwhelming medical debt or without needed care that is covered by their plans. Meanwhile, the insurance behemoth reaps a “financial windfall.”<\/p>\n

The lawsuit, filed in the US District Court in western Kentucky, is led by two people who had a Humana Medicare Advantage Plan policy and said they were wrongfully denied needed and covered care, harming their health and finances. The suit seeks class-action status for an unknown number of other beneficiaries nationwide who may be in similar situations. Humana provides Medicare Advantage plans for 5.1 million people in the US<\/a>.<\/p>\n<\/div>\n

Read 13 remaining paragraphs<\/a> | Comments<\/a><\/p>\n


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\nSource: Ars Technica – Humana also using AI tool with 90% error rate to deny care, lawsuit claims<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Enlarge \/ Signage is displayed outside the Humana Inc. office building in Louisville, Kentucky, US, in 2016. (credit: Getty | Luke Sharrett) Humana, one the nation’s largest health insurance providers, is allegedly using an artificial intelligence model with a 90 … Continue reading →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":1211924,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[27,110],"tags":[73],"class_list":["post-1211923","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ars-technica","category-unfiltered-rss","tag-ars-technica"],"_links":{"self":[{"href":"https:\/\/www.prime-wow.com\/index.php?rest_route=\/wp\/v2\/posts\/1211923","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.prime-wow.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.prime-wow.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.prime-wow.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.prime-wow.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1211923"}],"version-history":[{"count":0,"href":"https:\/\/www.prime-wow.com\/index.php?rest_route=\/wp\/v2\/posts\/1211923\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.prime-wow.com\/index.php?rest_route=\/wp\/v2\/media\/1211924"}],"wp:attachment":[{"href":"https:\/\/www.prime-wow.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1211923"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.prime-wow.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1211923"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.prime-wow.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1211923"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}