By Free Republic | Created at 2024-12-07 13:48:59 | Updated at 2024-12-23 12:03:44
2 weeks ago
Murdered health insurance boss Brian Thompson backed 'malicious' AI that denied 90% of patient coverage
Daily Mail ^ | 12.07.2024 | Ellyn LaPointe
Posted on 12/07/2024 5:19:43 AM PST by libh8er
A controversial AI program used to deny elderly people health coverage is now at the center of questions about the shooting of the UnitedHealthcare CEO. ……. UnitedHealthcare became the largest denier of insurance plans in 2023, dismissing one in every three claims.
It has now emerged that during the years before that, the company implemented AI software that had a 90 percent denial rate.
A lawsuit has claimed the software led to the deaths of at least two men who were elderly patients denied post care following a stroke and fall.
UnitedHealthcare is said to have launched the nH Predict AI Model in 2019, with Thompson taking over as CEO in April 2021 - years before the lawsuit was filed.
Thompson's shooter, who has yet to be identified, wrote the words 'deny,' 'defend' and 'depose' on the shell casing recovered at the murder scene, which refers to alleged tactics insurance companies are accused of using to avoid paying claims.
The lawsuit claimed that UnitedHealthcare 'banks on the patients' impaired conditions, lack of knowledge, and lack of resources to appeal the erroneous AI-powered decisions.'
The document continued to blast the use of AI as a 'fraudulent scheme' that allows the company a clear financial windfall in the form of policy premiums without having to pay for promised care.'
The nH Predict model was developed by NaviHealth Inc, a Tennessee company acquired by UnitedHealth in 2020 for $2.5 billion, the lawsuit states.
The software analyzes large datasets of patient health records, comparing a patient's data to similar cases within the database to predict future needs and potential outcomes, providing information to health insurance companies.
The model allegedly provided 'generic recommendations' that failed to 'adjust for a patient's individual circumstances and conflict with basic rules on what Medicare Advantage plans must cove,'
(Excerpt) Read more at dailymail.co.uk ...
TOPICS: News/Current Events
KEYWORDS: 0effedaround; 1foundout; alreadyposted; blamethevictim; brianthompson; classwarriorsonfr; uhc
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1 posted on 12/07/2024 5:19:43 AM PST by libh8er
To: libh8er
Very interesting. Thanks for posting.
2 posted on 12/07/2024 5:25:01 AM PST by PGalt (Past Peak Civilization?)
To: libh8er
The CEO was a snake running an evil corporation as part of an evil government-controlled industry used to impoverish and punish citizens. He got better than he deserved.
To: libh8er
DEPOPULATION? Useless eaters? Unsustainable?
4 posted on 12/07/2024 5:32:40 AM PST by PGalt (Past Peak Civilization?)
To: libh8er
Misdirection. Someone on his board took him out. They were being investigated for insider trading.
5 posted on 12/07/2024 5:32:49 AM PST by struggle
To: null and void; aragorn; EnigmaticAnomaly; kalee; Kale; AZ .44 MAG; Baynative; bgill; bitt; ...
6 posted on 12/07/2024 5:33:36 AM PST by bitt (<img src=' 'width=30%>)
To: libh8er
Thanks for posting. How much of this was driven by Obamacare? My guess is most or all. Obama and Pelosi are ultimately to blame as is the entire supporting cast of Dems who “deemed” it passed.
7 posted on 12/07/2024 5:33:55 AM PST by ProtectOurFreedom (“Facts can be ignored, but their consequences cannot be escaped” -- Thomas Sowell)
To: libh8er
Would be interesting to see an estimate as to how many died from this, with the calculation that the victims and their families couldn’t effectively stop it—or fight the behemoth legally.
8 posted on 12/07/2024 5:34:05 AM PST by 9YearLurker
To: wildcard_redneck
You have fallen for all the Lefty media bs .
Denials are based on the insurance you signed up for and your State laws on coverage
And Obamacare massive coverage restrictions which caused most of these denials .
I cant believe you are Promoting murder here .
9 posted on 12/07/2024 5:36:02 AM PST by ncalburt ( Gop DC Globalists are the evil)
To: struggle
**Misdirection. Someone on his board took him out. They were being investigated for insider trading.**
Perhaps but too young. Not a pro either.
We can see a motive or 2. Disgruntled customer.
10 posted on 12/07/2024 5:36:02 AM PST by DIRTYSECRET
To: libh8er
Taylor Lorenz posted “We want these executives dead”
But be careful what you wish for. The reason health insurers have to limit coverage is because the ACA was passed in 2010, which made it illegal for an insurer to deny coverage based on a pre-existing condition. Since 2010, insurance companies have had to pay for the treatment of people who decided to get insurance AFTER they found out they had cancer, AFTER they had a stroke, AFTER they were in a car accident. So the insurance companies get stuck with the bills for people who realize it is cheaper not to have insurance until you get cancer at age 60 or so. The rest of us who pay for insurance for our whole lives subsidize insurance grifters (probably 30 million of whom are illegal aliens).
So, Taylor Lorenze should remember that Barack Obama has the ultimate responsibility for destroying private health insurance in the US. It is her party that destroyed our health care system (and our border and our safe cities). Her first target should be herself.
11 posted on 12/07/2024 5:36:04 AM PST by brookwood (51 Intelligence Agents say Russia Influenced The 2024 Election)
To: libh8er
Insurance has always been somewhat of a scam.
12 posted on 12/07/2024 5:38:03 AM PST by exnavy (See article IV section 4 of our constitution.)
To: libh8er
Social security uses a similar system of denying. It is common knowledge that many have to go through appeal process to get covered. This has been going on for decades.
13 posted on 12/07/2024 5:38:05 AM PST by RummyChick
To: RummyChick
I am talking about disability. I forgot to include that word.
14 posted on 12/07/2024 5:38:39 AM PST by RummyChick
To: libh8er
Call center technology picked adopted the IVR and other touch-tone response systems to cut costs (minimize the need for call routers, etc.)
Some figured out that if, say, the refund center’s incoming call menus were frustrating enough, a certain percentage of customers would just give up. A huge savings in a) not having to give refunds and b) having to pay a live human to handle the request.
Now that honeypot of auto-denial technology is prevalent everywhere.
15 posted on 12/07/2024 5:40:14 AM PST by P.O.E. (Pray for America.)
To: ProtectOurFreedom
Notice the Dem leftist Media is Hiding the real source of all these issues
Obamacare’s massive rules that are meant to destroy private insurance
and push everyone into Govt Death care in which all care is denied unless you are a good Demonrat .
16 posted on 12/07/2024 5:40:32 AM PST by ncalburt ( Gop DC Globalists are the evil)
To: wildcard_redneck
Just a guess, you are not a Christian.
17 posted on 12/07/2024 5:40:45 AM PST by exnavy (See article IV section 4 of our constitution.)
To: ncalburt
guess it isn’t just “elections have consequences”.
18 posted on 12/07/2024 5:40:48 AM PST by Qwapisking (Q: know the difference between a petulant 6 y.o. and a liberal? A:age. L.Star )
To: libh8er
Denied 90%? NINETY PERCENT?? What the hell? How much were they paying off people to get away with this?
19 posted on 12/07/2024 5:41:03 AM PST by GrandJediMasterYoda (As long as Hillary Clinton remains free, the USA will never have equal justice under the law)
To: libh8er
Does NOT mean he deserved to be gunned down...
...just that his meeting Jesus was not as joyous as it ought to have been.
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