Mastodawn

Ryan Clarkson: Pretending #AI Tools Are Doctors Will Harm Millions on #Medicare: #Health insurers are already using AI to deny care—and are poised to do so at unprecedented scale

#UnitedHealth, #Humana, and #Cigna have been secretly implanting AI into their claims and prior authorization processes.

"In our litigation, we have uncovered claim denial reversal rates exceeding 90% when patients challenge these AI-driven decisions."

#TheContrarian #insurance #fraud #law
https://contrarian.substack.com/p/pretending-ai-tools-are-doctors-will

Pretending AI Tools Are Doctors Will Harm Millions on Medicare

Health insurers are already using AI to deny care—and are poised to do so at unprecedented scale

The Contrarian

Milo Dide Oct 15

It’s time these #CEOs feel pressure too. Sign and send a direct message to the CEO’s of Humana, #Kaiser, #UnitedHeath, #Cigna, and #BlueCross #BlueShield demanding they don’t raise the insurance premiums of millions of #Americans. https://act.perfectunion.us/ss/c/u001.qUXRBnqZ7T8nxbpAcIVwoUsWLkUMWlo_0JmZttSlm3-Kl0jZV_XwBV21Ca9cqfNyrjPOB5Gi-zFEmoo4ERo12R1MEHi_tXrbZ0LmQRebmYrJUm3dN9eEdOzi1QQMUXL5DzYBhafxilAAPxT8PjvWQZwcijPPD5SWJjokLIJn6yj1K0B6majP2iWqDTAKNHk04T-BmjGLY_y0pswG2eEDZIh8FMlN7LFcTlPffZhkZTfFKPUOh6yp49YlhWzOVRVkMtDANXPhL_AhYIlRPzZ4UGraNc94mD76Jg9lAHtmr5sEb-P1-TMfkoXK7_yLZ1rZ/4kp/eLuKqWo8Q3q9rlHbUzUMXQ/h0/h001.0vxDFy8I2NhtEf4wNna96Wuy8lViSAICp0dzVX0--Bs

👊🇺🇸🔥Aug 15, 2025

#cigna can get fucked.

beSpacific Aug 14, 2025

SupremeCourt overturned #RoevWade on June 24, 2022, ending #federal #right 2 #abortion #Republicans working tirelessly 2 restrict abortion access across all states. Leading the efforts are #Republican Attorneys General Association. #RAGA pledged: "Every donation will help Republican #AG combat Democrats' pro-abortion agenda & stand tall for #life. Your favorite brands R funding anti-abortion legal campaigns #nationwide. #UnitedHealthcare, #Pfizer, #Cigna, #CVS #Walmart #Airbnb #Zillow #DoorDash

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Taco Dave Jun 17, 2025

UPDATE: #Cigna is such a massive piece of shit company that they’ve seen fit to contact me multiple times by phone to try to have someone with no technical experience read instructions for the Cigna website at me since they couldn’t read the fact that the bug report was about the app, THEN call me again and try to read a “resolution” at me despite me telling them I already got my ID cards another way, but also REFUSING TO TELL ME THE RESOLUTION without validating my PII. FUCK CIGNA. #FuckCigna

Jason Yip Jun 5, 2025

How #Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them https://www.propublica.org/article/cigna-pxdx-medical-health-insurance-rejection-claims

How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them

Internal documents and former company executives reveal how Cigna doctors reject patients’ claims without opening their files. “We literally click and submit,” one former company doctor said.

ProPublica

Flekk Dogg 🇵🇸Mar 20, 2025

Got billed $1700 for a 1 hr ER visit. #Cigna still hasn't paid for my prescription that their website says they cover, leaving me on the hook for $127 when it cost me $10 before.

Catherine Collingwood Estes Feb 3, 2025

The ratio of #claims to premiums for the full year was [about] 4% to 7% higher than what #Cigna had expected. #StopLoss #LevelFunded #PremiumIncreases #HealthInsurance (Free registration req'd.) https://buff.ly/3WJENh9

Specialty drugs and cancer surgery claims will push up stop-loss renewal prices, says Cigna CFO

The villains were injectable specialty drugs like Keytruda and inpatient surgical procedures for seriously ill patients.

BenefitsPro

Paul Lockaby Feb 1, 2025

In better news, my employer dropped #UHC as our insurance provider in favor of #Cigna. Here's hoping that Cigna will cover my medication so that I'm not paying $230 out of pocket every 45 days for the medication that keeps me from bleeding everywhere everyday.