UnitedHealthcare, the largest health insurance company in the US, is allegedly using a deeply flawed AI algorithm to override doctors’ judgments and wrongfully deny critical health coverage to elderly patients. This has resulted in patients being kicked out of rehabilitation programs and care facilities far too early, forcing them to drain their life savings to obtain needed care that should be covered under their government-funded Medicare Advantage Plan.
My company is testing an GPT implementation that automatically updates and resubmits these claims that were denied by insurance company AIs (united is not the only one)
It’s still wild to me that one of the first places we have AIs battling each other is health insurance claims
It may be wild, but - unfortunately - it also makes perfect sense for the world we live in. Capitalism, ho!