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Lawsuit Claims Humana Used Algorithm to Deny Care
HealthcareDIVE 
Dec. 14, 2023 "Humana is the latest insurer to be sued over its use of artificial intelligence in claims processing, with a lawsuit alleging the payer used AI model nH Predict to improperly deny care ... [P]laintiffs argued the payer prematurely cut payments for MA beneficiaries' rehabilitation care. According to the suit, Humana based the cuts on the AI model's 'rigid and unrealistic predictions for recovery' -- not doctors' recommendations -- despite knowing the model's estimations were often 'highly inaccurate.' " [Barrows v. Humana, Inc., No. 23-0654 (W.D. Ky. complaint filed Dec. 12, 2023)] |
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