

How insurance companies use AI to deny claims
Dec 18, 2024
Casey Ross, chief investigative reporter at STAT, dives into the dark side of AI in health insurance claims, particularly with UnitedHealth. He reveals how automated systems can unjustly deny crucial care, impacting vulnerable patients like the elderly. The discussion also touches on the ethical dilemmas of cost-cutting measures, the disconnect between algorithm predictions and actual patient needs, and the ongoing legal scrutiny facing insurers. Ross emphasizes the urgent need for transparency and human oversight in these decision-making processes.
Chapters
Transcript
Episode notes
1 2 3 4 5 6 7
Intro
00:00 • 4min
The Perils of Algorithmic Care Denials
04:04 • 8min
AI's Cost-Cutting Impact on Health Insurance Claims
11:50 • 4min
The Disconnect Between Algorithm Predictions and Patient Care
15:27 • 3min
Navigating AI in Healthcare Claims
17:58 • 11min
Legal Scrutiny on AI in Health Insurance
28:31 • 5min
Navigating AI in Medicare Decisions
33:07 • 15min