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

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.

@ramsgrl909@lemmy.world
link
fedilink
English
51Y

UnitedHealth stopped their contact with UVM Health Care in 2024. I work remotely in Vermont and United Health is the only option at my company. Big shoutout to UnitedHealth for being the worst health provider, big big big EFF YOU. Record profits in 2023 and you couldn’t renew a contract with a nonprofit network.

I work in a hospital. I’m a PT so a lot of my job is recommending what kind of rehab someone might need after a stay after working with us at the hospital (outpatient, skilled nursing, acute rehab, home health).

United is the worst insurance for this stuff. They deny shit because they can, with no regard for what the patient needs.

@uis@lemmy.world
link
fedilink
English
11Y

So 10% error rate is ok?

Gazumi
link
fedilink
English
51Y

The sad reality is that his is a runaway success financially

@Zeth0s@lemmy.world
link
fedilink
English
791Y

99% it’s not AI, it is just an old school linear model, the one they have been using for decades, implemented on Excel, that they now call AI.

I know people working in insurance…

@MotoAsh@lemmy.world
link
fedilink
English
111Y

removed by mod

@Dozzi92@lemmy.world
link
fedilink
English
201Y

AI = computer. That’s it. The same people who called your Xbox Nintendo are using AI as a blanket term for … anything.

@XTornado@lemmy.ml
link
fedilink
English
9
edit-2
1Y

Yeah… Like “I’m sorry the system decides, not our decision” said the people who made the system.

TheHarpyEagle
link
fedilink
English
61Y

Having worked adjacent to health insurance, I can confidently say that no one has a fucking clue what they’re doing. The rules are so complicated that eventually you just throw the claim into a black box and accept the output at face value.

They better be careful! The court could issue a judgement of up to $100,000 to cover all the lives they have destroyed. That’ll show 'em!

deleted by creator

Overzeetop
link
fedilink
English
51Y

TBF, we were promised death panels. They’re just more efficiently run than we expected.

Yeah but ummm free market. You can switch to one of 2 or 3 other health insurance companies with their own distinct AI death panel.

Flying Squid
link
fedilink
English
81Y

Oh good. My wife’s employer, who we both get insurance through, just switched to United Healthcare. Although I’m sure Anthem is using the same bullshit AI software.

At least I’m not on Medicare. Those people sound really fucked.

Create a post

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


  • 1 user online
  • 191 users / day
  • 586 users / week
  • 1.37K users / month
  • 4.49K users / 6 months
  • 1 subscriber
  • 7.41K Posts
  • 84.7K Comments
  • Modlog