One criticism of UnitedHealthcare that has garnered attention following the shooting involves a lawsuit alleging the company
uses artificial intelligence (AI) to deny coverage to some elderly patients who are on a Medicare Advantage plan, despite
allegedly being aware that the algorithm has a
90 percent error rate.
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The lawsuit alleges the provider continues using the system because it knows that
only about 0.2 percent of policyholders will appeal their denied claims and that the majority will "either pay out-of-pocket costs or forgo the remainder of their prescribed post-acute care."
The suit says that UnitedHealthcare banks "on the patients' impaired conditions, lack of knowledge, and lack of resources to appeal the erroneous AI-powered decisions."