He was killed on Wednesday 4 December in New York Brian Thompsonthe CEO of UnitedHealthcarean important US company in the medical insurance sector. The murder was carried out in the morning, hitting Thompson in front of the entrance to the Hilton Midtown hotel, and the man who shot him ran away on an e-bike towards Central Park.
The attack was most likely premeditated and planned: the words: “deny”, “defend” and “depose” were written on the bullet casings found where Thompson was killed. dismiss”), probable reference to the strategy used by insurance companies to try in every way not to compensate their customers.
The US site ComputerWorld highlights many customers’ anger towards insurance by explaining that UnitedHealthcare (UHC) exploits, among other things, generative AI systems to manage clients, a choice that leads to a high rate of denial of care.
UHC leverages a generative AI tool called nH Predict, against which the finger has already been pointed in a lawsuit because, as mentioned, it identifies even the smallest quibbles to avoid compensating customers’ claims.
Dispute strategies to deny reimbursements even when they are due are very common among health insurance groups in the United States. A lawsuit filed last year in Minnesota states that the use of AI models leads to an error rate of up to 90%, overriding decisions that should be made by doctors, the only ones who should confirm (or deny) the reimbursement of expenses for health care.
Obviously the AI used by UnitedHealthcare does everything it can to not activate refunds, also taking into account the fact that most insurance customers will not appeal rejected claims. Trained with millions of medical records, nH Predict analyzes patient data, taking into account age, diagnosis and pre-existing conditions to predict the type and duration of care to be offered.
This AI has been repeatedly criticized for the high error rates it entails, the early termination of benefits for the care of clients (particularly elderly and disabled people), lack of transparency in decisions and the worsening of health inequalities.
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