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.

  • Zeth0s@lemmy.world
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    1 year ago

    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…

    • Dozzi92@lemmy.world
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      1 year ago

      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
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        1 year ago

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

    • MotoAsh@lemmy.world
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      1 year ago

      It’s what they trained the AI on. The AI wasn’t to help the insured’s situation. It’s so they can employ fewer agents.

    • TheHarpyEagle@lemmy.world
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      1 year ago

      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.

  • penquin@lemm.ee
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    1 year ago

    I don’t get why I need a middleman between me and my doctor! As a person who comes from a 3rd world country that has universal healthcare, this sounds insane to me.

    • Evilcoleslaw@lemmy.world
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      1 year ago

      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.

  • Burn_The_Right@lemmy.world
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    1 year ago

    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!

  • Flying Squid@lemmy.world
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    1 year ago

    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.

  • ramsgrl909@lemmy.world
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    1 year ago

    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.

  • plantedworld@lemmy.world
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    1 year ago

    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.