UnitedHealthcare, the largest health insurance company in the US, is allegedly using a deeply flawed AI algorithm to override doctors' judgments and wrongfully deny critical health coverage to elderly patients. This has resulted in patients being kicked out of rehabilitation programs and care facilities far too early, forcing them to drain their life savings to obtain needed care that should be covered under their government-funded Medicare Advantage Plan.
It's not just flawed, it's flawed in UnitedHealthcare's favor.
That's not a flaw... that's fraud.
I work in healthcare, and let me tell you, NO ONE denies care as much, as often or as blatantly badly as UHC. Not a one. It's known in the industry to be one of the worst insurance carriers around. DO NOT sign up for UHC this or any other open enrollment period. (I work in rehab and the things they deny are basic and hugely important to quality of life)
I'm reblogging this again because I realized that I didn't include something important. If you have a plan with UHC (or any carrier, honestly) and you are denied something that you and your care team believe you need, ask your doctor to ask for a "peer to peer" review. This is a process in which the doctor speaks to another doctor in the company. It cannot be handled by AI and cannot be just denied without review by an actual doctor.
Peer to peer!




















