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A UnitedHealthcare letter is shown. UnitedHealth Group is being sued for allegedly using an artificial intelligence algorithm to systematically deny elderly patients rehabilitative care.
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[4] [5] UnitedHealthcare insures 49 million Americans and generated $281 billion in revenue for the 2023 fiscal year. [30] Under his leadership, UHC's profits increased from $12 billion in 2021 to $16 billion in 2023. [31] At the time of Thompson's death, the company was the largest health insurer in the United States. [32]
An explanation of benefits (commonly referred to as an EOB form) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. [1] The EOB is commonly attached to a check or statement of electronic payment. An EOB typically describes:
UnitedHealth Group Inc uses an artificial intelligence algorithm that systematically denies elderly patients' claims for extended care such as nursing facility stays, according to a proposed class ...
The words “deny,” “defend” and “depose” written on shell casings found at the site where UnitedHealthcare CEO Brian Thompson was fatally wounded on Wednesday near a Manhattan hotel, ...
Delay, Deny, Defend is a critical exploration of the property and casualty insurance industry, examining how its practices affect policyholders.Feinman, a law professor specializing in consumer rights and insurance law, argues that the industry prioritizes profits over policyholders' needs, often using tactics like delaying or denying legitimate claims to bolster financial performance.
Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...