UnitedHealth Accused of Deploying Allegedly Flawed AI to Deny Medical Coverage
Description
UnitedHealthcare allegedly used a faulty AI algorithm with a 90% error rate to override doctors' recommendations and deny health coverage. This AI, developed by NaviHealth, reportedly led to premature discharge from care facilities and substantial out-of-pocket expenses for patients, according to a lawsuit filed in the District Court for Minnesota.
Actors
Alleged Deployers
- unitedhealthcare
Alleged Developers
- navihealth
Harmed Parties
- medicare-advantage-plan-patients
- healthcare-providers-(doctors-and-therapists)
- elderly-patients
- patients
Classification
Risk Domain
AI Safety & FailuresRisk Subdomain
7.3. Lack of capability or robustness
MIT Risk Profile
Topics
Source
Related Incidents (AI Safety & Failures)
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A Survey on Explainable Artificial Intelligence (XAI): Towards Medical XAI
Representation Engineering: A Top-Down Approach to AI Transparency
Explainable artificial intelligence (XAI) in deep learning-based medical image analysis
Mitigation Tools
Tools related to this risk domain, via shared responsible AI topics.