Length of Stay False Diagnosis Cut Off Insurer's Payment for Treatment of Elderly Woman
Description
An elderly Wisconsin woman was algorithmically determined to have a rapid recovery, an output which the insurer based on to cut off payment for her treatment despite medical notes showing her still experiencing debilitating pain.
Actors
Alleged Deployers
- security-health-plan
- navihealth
Alleged Developers
- navihealth
Harmed Parties
- frances-walter
- elderly-patients
Classification
Risk Domain
AI Safety & FailuresRisk Subdomain
7.3. Lack of capability or robustness
MIT Risk Profile
Topics
Source
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Mitigation Tools
Tools related to this risk domain, via shared responsible AI topics.