02/17/2025
Did you know?
The bill would allow AI to be classified as a 'practitioner licensed by law' to administer FDA-approved drugs. Proposed legislation introduced in the U.S. House of Representatives will allow AI and machine learning technology to prescribe drugs approved by the FDA autonomously. The bill, H.R. 238, introduced on Jan.4 days ago
https://www.mobihealthnews.com
Proposed bill would pave the way for AI to prescribe drugs | MobiHealthNews
AI has been used in the Prior authorization process and it has denied some procedures/imaging/treatments inappropriately.
AI Overview
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A recent lawsuit against UnitedHealthcare (UHC) alleges that they are improperly using artificial intelligence (AI) algorithms to deny necessary medical claims, particularly for Medicare Advantage patients, by prematurely cutting off post-acute care like nursing home stays, often overriding doctor recommendations and causing significant harm to patients; this lawsuit centers around the company's subsidiary NaviHealth and its AI-based system for making coverage decisions.
Key points about the lawsuit:
Claim:
The plaintiffs argue that UHC's AI algorithms are flawed and lead to wrongful denials of care, violating patient rights and potentially causing harm to their health by denying needed treatment.
Focus on Medicare Advantage:
The lawsuit specifically targets UHC's use of AI in making coverage decisions for Medicare Advantage beneficiaries, a group often requiring significant post-acute care.
Algorithm Name:
Some reports identify the specific algorithm at the center of the lawsuit as "nH Predict".
Potential Impact:
This lawsuit could have significant implications for the healthcare industry, as it raises questions about the ethical use of AI in making coverage decisions and the potential for patient harm when such algorithms are not properly regulated.
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The lawsuit, in U.S. District Court in Minnesota, alleges that UnitedHealth and its subsidiary NaviHealth relied on flawed algorithms to cut off essential rehabilitative care to sick and injured Medicare Advantage beneficiaries. It was first filed in 2023 after a series of STAT stories revealed the company's practices.Feb 7, 2025
Please call your congress persons and tell them to vote no.