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    Laut Klage nutzt UnitedHealth ein KI-Modell mit einer Fehlerquote von 90 %, um die Versorgung zu verweigern
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    Laut Klage nutzt UnitedHealth ein KI-Modell mit einer Fehlerquote von 90 %, um die Versorgung zu verweigern

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    48 Kommentare

    1. geldonyetich on

      I swear all the insurance companies in the world have redoubled their deny/defend/depose efforts after their CEO was shot.

    2. Interesting-Log-9627 on

      Obvious question – is this meaningfully different than their previous performance?

    4. BeMancini on

      “No, you give us the money. We don’t pay for things, you just give it. This is the investor’s money now.”

    5. AvailableReporter484 on

      Only in America could you be a billion dollar industry and provide no actual value or use to its customers.

      Thank fucking Christ almighty conservatives are here to tell us this system is somehow better than single payer.

    6. wrxninja on

      You hear that, Brian Thompson?

      Oh wait.

      I’ll wait for the UH bots to downvote me.

    7. Mountain_rage on

      Just as the founding fathers demanded right federalists? They are required to do everything in their power to maximize profits?

    10. BookishFookfest on

      We need to use AI to start sending appeals back. In mass. Reverse uno them with their own slop. Fight back.

    12. Sudden_Visual723 on

      I was told that universal health care would result in “death panels”

    14. Tex-Rob on

      It’s the same thing insurers realized for a period, I think it was Allstate, that they could just deny it all and then only pay if taken to court. Allstate did this too heavy handed, and caught slapped, but that was the only real issue. UHC has realized that they can just say „new tech, sorry“ and absolve themselves of blame. They know a lot of people will die waiting for resolution, and that saves them money.

    15. vrxz on

      Older folks need to avoid Medicare Advantage plans like the plague. It’s just an added middleman of private insurance companies that are incentivized to restrict care, drown you in paperwork, and deny claims to make profit.

      They will lure people who don’t know better with lower monthly costs and free gym memberships. Then restrict their access to doctors in-network, inflate diagnosis codes to get more reimbursement from the government, and deny claims to pocket the difference.

    17. VoopityScoop on

      Pay hundreds of dollars every month for years for healthcare, ask the insurance company if you can use some of that money now, they say „nah“ without ever having a human look at it, then charge you more for asking. What the fuck? What’s the point? How is this better than a tax increase and NO health insurance payments? It’s not cheaper, it’s not faster, it’s not more efficient. What’s the point? 

    18. chrispy_t on

      I’m sorry but this headline is dog shit. It’s not a 90% error rate. It’s that 90% of appeals were accepted. That is fundamentally not the same claim. The article even states that there aren’t that many appeals? This is the survivorship bias plane meme.

    21. PistolCowboy on

      I bet if it was approving everything they would have pulled the plug quickly.

    22. DDayDawg on

      I just wonder in which direction it errors? My guess is that this isn’t an error at all.

    25. Bozihthecalm on

      Unless they are paying massive fines for it, it’s not an error, it’s a feature.

    26. Tall_Category_304 on

      90% error rate? Even random should be 50/50 over a large binary dataset.

    28. SweaterJaguars3034 on

      United Healthcare has killed far more people than the alleged assassin. That entire board and executive team should be in jail for killing people

    29. QueenOfQuok on

      Ah, but you see, they don’t consider the denial of coverage to be an error.

    30. 4dxn on

      Insurance using AI to deny claims. Hospitals using AI to write claims so they won’t get denied.

      At some point, it’ll just be AI making decisions on patient health.

    32. adumblittlebaby on

      It’s crazy to me that companies are allowed to take your money under false pretenses, then actively fight providing what they promise, and it’s not a crime. Like it’s some kind of paperwork error and nobody is ‚really to blame‘.

      I’ll vote for the first party that promises to give corporate laws teeth and, first and foremost, go assign the executive class liability for ANY wrongdoing in a corporation. You can’t get paid top dollar, say it’s because ‚you’re responsible for everything‘, but as soon as something goes wrong point to a lower level employee and say you simply didn’t know about it. If you didn’t, that’s the crime. That’s your job. Ignorance should never, ever be a defense.

    33. trexmaster8242 on

      Guys it’s not their fault it’s their ai so don’t get mad at them! Totally not what they want!

    36. CarpeNivem on

      If Americans wanted healthcare – that is to say, not insurance, but *care* – then they would vote for what almost every other industrialized country on Earth has, but alas, they do not, and their *very consistent voting record* proves this. They would rather fork money hand over first into yachts for health insurance CEOs. That is *observably* true. Actions speak louder than words.

      And to that end, it seems like the AI here is working perfectly.

    38. HotFartore on

      In America paying Healthcare is like dumping money 💰 in a trash 🗑 can, when you need it, the answer is, nope, you don’t qualify.

      An embarrassment for America 🇺🇸

    39. Fraegtgaortd on

      UnitedHealth would tell you the error is that it’s still not denying enough claims

    40. SliC3dTuRd on

      I work closely with UHC. From what I can tell they have quotas for approvals and denials.

    43. hunsuckercommando on

      “Error rate” is too generic. Depending on your perspective, false positives may be preferential to false negatives.

      If I’m a patient, I probably prefer false positives because I prefer being diagnosed with cancer to find out through later tests I’m actual cancer free. From the insurance perspective, false negatives are preferable because false positives will “waste” a lot more money on treating someone who isn’t actually sick.

      “Specificity” vs “Sensitivity” are possible ways to measure the differences.

    47. LiamJamIsMyNeesons on

      They learned nothing. We’re gonna need the entire Nintendo cast for the next lesson

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