UnitedHealthcare accused of using AI that denies critical medical care coverage | (Allegedly) putting profit before patients? What a shock.

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• ilinamorato@lemmy.world ⁨11⁩ ⁨months⁩ ago

  The full source code of that “AI:”

  function process_claim (claim_id){ return “denied”; }

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  • kiranraine@reddthat.com ⁨11⁩ ⁨months⁩ ago

    Nah its got like a 2% chance approval which is even giving too much credit imo 🤣

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• Kalkaline@leminal.space ⁨11⁩ ⁨months⁩ ago

  United can suck my balls, they denied an ADHD med I’ve been on for years.

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  • LazaroFilm@lemmy.world ⁨11⁩ ⁨months⁩ ago

    My doc tried to change my ADHD meds to another one with less side effects. Denied and told him to try another one. T felt completely inebriated all day and fell asleep at the dinner table. At this point I give up. I’ll just deal with ADHD. It’s better than dealing with fixking health insurance.

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    • EvacuateSoul@lemmy.world ⁨11⁩ ⁨months⁩ ago

      I use Primatene OTC and caffeine to self-medicate.

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• andyburke@fedia.io ⁨11⁩ ⁨months⁩ ago

  People with no moral compass are selling "AI" to credulous hospital administrators trying to maximize their bonuses by cutting healthcare worker hours.

  Fuck for-profit healthcare.

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• rivermonster@sh.itjust.works ⁨11⁩ ⁨months⁩ ago

  Capitalism and healthcare are fundamentally incompatible, the failed USA proves it every day, all day, 365.

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  • SirQuackTheDuck@lemmy.world ⁨11⁩ ⁨months⁩ ago

    US healthcare on February 29th:

    Image

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• Zrybew@lemmy.world ⁨11⁩ ⁨months⁩ ago

  UnitedHealthcare, is being sued over claims it is using a flawed AI model. The system is said to have wrongfully denied health coverage to critical elderly patients and disagreed with doctors’ determinations.

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  • tehbilly@le.ptr.is ⁨11⁩ ⁨months⁩ ago

    The fact that insurance companies don’t have to defer to physicians for medical decisions is mind boggling.

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    • Listlessnomad@lemmy.world ⁨11⁩ ⁨months⁩ ago

      Their excuse is that they aren’t “overruling the doctor”, they just aren’t going to pay for it. Never mind that in the US it’s functionally the same thing.

      They will just say “you do what you think is best for the patient doc. We just disagree and aren’t going to cover it.” It forces doctors, hospitals, rehabs, and nursing homes into situations where they either have to provide care for free, or not at all. I’ll never understand how we allowed things to get this bad.

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    • HaggierRapscallier@feddit.nl ⁨11⁩ ⁨months⁩ ago

      Seems criminal tbh. In a decent society.

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• quindraco@lemm.ee ⁨11⁩ ⁨months⁩ ago

  What were the customers expecting when they paid for health insurance?

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• Lophostemon@aussie.zone ⁨11⁩ ⁨months⁩ ago

  Elysium here we come.

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• interceder270@lemmy.world ⁨11⁩ ⁨months⁩ ago

  Downvoted for trashy headline.

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• trash80@lemmy.dbzer0.com ⁨11⁩ ⁨months⁩ ago

  Is there any criteria for what is considered to be A.I.?

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  • nous@programming.dev ⁨11⁩ ⁨months⁩ ago

    Yes. It is can I spin this as AI to investors?

    I admit, not a very high bar to pass so basically everything is labeled as AI these days. It is what investors want to see.

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    • trash80@lemmy.dbzer0.com ⁨11⁩ ⁨months⁩ ago

      new buzzword for the media to abuse

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  • flumph@programming.dev ⁨11⁩ ⁨months⁩ ago

    Nope. It’s fully a marketing term and always has been. Worked at a firm that used a very, very basic bit of machine learning. But you better believe our marketing and investor pitch decks said “AI” a ton.

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