674
submitted 7 months ago by L4s@lemmy.world to c/technology@lemmy.world

UnitedHealth uses AI model with 90% error rate to deny care, lawsuit alleges | For the largest health insurer in the US, AI's error rate is like a feature, not a bug::For the largest health insurer in the US, AI's error rate is like a feature, not a bug.

you are viewing a single comment's thread
view the rest of the comments
[-] raptir@lemdro.id 161 points 7 months ago

For-profit health insurance just makes no sense. This is the expected behavior of a for-profit insurance system.

[-] PilferJynx@lemmy.world 48 points 7 months ago

Ah it would be nice if the government actually took care of it's citizens health. At least the government is taking care of corporate profits though.

[-] reksas@sopuli.xyz 27 points 7 months ago

Current america reminds me of america under british rule before independence. Or at least how I have seen it being portrayed.

[-] pdxfed@lemmy.world 19 points 7 months ago

The idea that when you're overbilled or misbilled, if it IS caught, all the insurerer will do (if you're lucky) is correct it. This gives them no incentive to actually not do it again.

As you said, expected and completely predictable behavior.

[-] BrianTheeBiscuiteer@lemmy.world 10 points 7 months ago

Not just the insurer. I've had a few hospitals and doctors file claims that the insurer rejected because they didn't follow the right process or use the right code. A few times I couldn't get the provider to refile and I had to make up for their incompetence (i.e. paid the full amount out of pocket). For all the times I did get them to correct their mistakes I didn't get any kind of discount or credit.

this post was submitted on 17 Nov 2023
674 points (99.4% liked)

Technology

55692 readers
3321 users here now

This is a most excellent place for technology news and articles.


Our Rules


  1. Follow the lemmy.world rules.
  2. Only tech related content.
  3. Be excellent to each another!
  4. Mod approved content bots can post up to 10 articles per day.
  5. Threads asking for personal tech support may be deleted.
  6. Politics threads may be removed.
  7. No memes allowed as posts, OK to post as comments.
  8. Only approved bots from the list below, to ask if your bot can be added please contact us.
  9. Check for duplicates before posting, duplicates may be removed

Approved Bots


founded 1 year ago
MODERATORS