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UnitedHealth sued over use of algorithm in Medicare Advantage plans

www.statnews.com UnitedHealth faces class action lawsuit over algorithmic care denials in Medicare Advantage plans

A class action lawsuit was filed against UnitedHealth and a subsidiary alleging they use an algorithm to deny care to seriously ill patients

UnitedHealth faces class action lawsuit over algorithmic care denials in Medicare Advantage plans

cross-posted from c/Medicine: https://lemmy.ca/post/9440628

Discussion on r/Medicine: https://www.reddit.com/r/medicine/comments/17vynjh

I liked this comment in particular:

For years I’ve had a smartphrase in epic for every test, medication or procedure I ordered that is denied by insurance. Basically stating that the medical director responsible for the denial will be medically and legally liable for any complications that may arise from the lack of such service. I thought it didn’t do shit, just something petty I thought of after a patient of mine lost his transplanted liver because the insurance would persistently deny his immune suppressant meds. It turns out the medical director for a recent insurance denial sent me a letter stating my statements were “inflammatory and inappropriate”. That put me in a good mood.

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