Traditional Medicare has a lot of waste. Nursing homes have big $ incentives to keep people as long as possible. This here is the exact opposite: In the pursuit of saving money, MA insurers are denying care to truly sick and frail people. www.statnews.com/2023/11/14/u...
UnitedHealth executives pressured clinical staff to follow an algorithm to cut off patients’ rehab care, leading to coverage decisions that may violate Medicare regulations.
This also shows just how concerning unregulated AI and predictive technology can be in health care. In this case, algorithms that use things like estimated lengths of stay to influence coverage decisions are inherently flawed and/or biased. www.statnews.com/2023/11/14/u...
UnitedHealth executives pressured clinical staff to follow an algorithm to cut off patients’ rehab care, leading to coverage decisions that may violate Medicare regulations.