MA’s denying claims. Can this be fixed?

[Robduq23]

UnitedHealth, CVS and Humana increasingly deploy AI and deny post-acute care claims, Senate report finds

The country’s three largest Medicare Advantage (MA) insurers obstruct seniors’ ability to receive post-acute care, a scathing report from the U.S. | A report from Sen. Richard Blumenthal, D-Connecticut, found that the country's biggest Medicare Advantage insurers use artificial intelligence to...

www.fiercehealthcare.com

 

[InsuranceGuy29]

UnitedHealth, CVS and Humana increasingly deploy AI and deny post-acute care claims, Senate report finds

The country’s three largest Medicare Advantage (MA) insurers obstruct seniors’ ability to receive post-acute care, a scathing report from the U.S. | A report from Sen. Richard Blumenthal, D-Connecticut, found that the country's biggest Medicare Advantage insurers use artificial intelligence to...

www.fiercehealthcare.com

This is such incredibly old news. For those wondering....they tried a new tech to review claims. It didn't work all that well, and it was scrapped. End of story. There's nothing else to know. It's gone.

 

[Robduq23]

This is such incredibly old news. For those wondering....they tried a new tech to review claims. It didn't work all that well, and it was scrapped. End of story. There's nothing else to know. It's gone.

Well they better do something.

 

[InsuranceGuy29]

Well they better do something.

They did. Ai is no longer involved in the PA process at all.