Paris MarxWhen we warn the real threat of AI is how it’s used against people in the present, not the fantasies that some day computers might think for themselves, this is exactly the kind of thing we’re talking about: health insurers using AI to deny care.
The Gray Witch@parismarx Request the reason and signature from the doctor advising the insurer deny care.
Shane Kerr@gray_witch @parismarx From the fine article:
"His family appealed the denial, twice, overturning it on the second appeal after NaviHealth doctors reviewed Tetzloff's medical records. But, after 40 days at the skilled nursing home, UnitedHealth denied coverage again and refused to provide a reason. The family continued trying to appeal the denial, but were unsuccessful."
So you can ask for whatever documentation you want, but that doesn't mean that you will get it.
@shane_kerr @parismarx A doctor's signature on the denial gives much greater grounds for a lawsuit later on malpractice.
@gray_witch @parismarx I have no idea about the legal implications, so you are probably correct about those. But according to the article the insurance company did not provide any justification for denying the claim. Presumably they were asked.
I find it shocking that this would even be possible, but the article seems credible, and health care in the USA is crazy, so I am inclined to believe it.
@shane_kerr @parismarx I've seen it a number of times.