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“Lever Time” Presents: Artificial Intelligence Is Denying Americans Health Care

Dec 22, 2023
Healthcare journalist Bob Herman joins Lever Time to discuss how UnitedHealth Group, the largest health insurer in the US, uses artificial intelligence to deny rehabilitation services to older and disabled Americans. They dive into the impact of this issue, challenges faced by patients, the use of AI in denying health insurance claims, overcharging and abuse in Medicare Advantage plans, and the influence of the insurance industry on the healthcare system.
29:24

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • The largest health insurer in the United States, UnitedHealth Group, has been using artificial intelligence to deny rehabilitation services to older and disabled Americans enrolled in Medicare Advantage health insurance plans.
  • The use of AI technology in the healthcare industry raises concerns about the lack of personalized care it provides and the systematic overbilling by insurers, including Medicare Advantage plans, which overcharge taxpayers by up to $140 billion per year.

Deep dives

Private health insurance companies are using AI to deny healthcare coverage

In this episode, the use of artificial intelligence and computer algorithms by private health insurance companies to deny healthcare coverage is discussed. Journalists Bob Herman and Andrew Perez from STAT News interview Bob Herman regarding his report on how UnitedHealth, the largest health insurer in the country, utilizes AI to deny rehabilitation services to older and disabled patients enrolled in privatized Medicare Advantage health plans. The algorithm used by UnitedHealth predicts how long a patient should stay in a nursing home, leading to denials of coverage based on cost-saving strategies. The appeals process for patients is complex and difficult, with many individuals unable to navigate it, resulting in them either paying out of pocket for necessary care or being discharged in potentially unsafe conditions.

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