Humana sued for allegedly using AI for Medicare Advantage denials

Humana has become the latest insurer to be sued over allegedly using artificial intelligence to deny care, with a class action lawsuit claiming the company’s nH Predict AI model was used to deny care to Medicare Advantage members.

The lawsuit accuses Humana of cutting payments prematurely for rehabilitative care based on nH Predict’s “highly inaccurate” recovery predictions, favoring them over doctors’ recommendations.

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