Humana also using AI tool with 90% error rate to deny care, lawsuit claims

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Lawsuit Claims Humana’s AI Tool with 90% Error Rate Denies Care

A recent lawsuit has shed light on the concerning use of an AI tool by Humana, a prominent health insurance company. The tool, which reportedly has an alarming 90% error rate, is accused of wrongfully denying care to patients. The lawsuit alleges that Humana’s reliance on this flawed technology has resulted in serious consequences for numerous individuals seeking necessary medical treatments.

Serious Allegations Against Humana’s AI Tool

The lawsuit, filed by advocacy groups and affected patients, accuses Humana of prioritizing cost-cutting measures over patient care. It claims that the AI tool has been systematically denying treatment approvals without proper human oversight, solely based on its flawed algorithms. This malicious practice has reportedly resulted in severe delays or complete denial of care to those in need.

Flawed Technology Raises Concerns

The central issue at hand is the high error rate associated with Humana’s AI tool. With an alarming 90% inaccuracy rate, the tool is likely to generate incorrect treatment denials, which can have devastating consequences for patients. The lawsuit argues that Humana’s negligence in thoroughly vetting and monitoring this technology puts countless lives at risk.

Lack of Human Oversight and Personalization

One of the major complaints against Humana is the absence of adequate human oversight in the decision-making process. The AI tool’s automated denials lack the essential context and understanding that only a qualified healthcare professional can provide. By solely relying on flawed algorithms, Humana disregards the importance of personalized care and the intricate nature of medical treatments.

The Impact on Patient Well-being

The consequences of Humana’s AI tool errors are significant and far-reaching. Patients who are wrongfully denied treatment face worsening health conditions, increased pain and suffering, and even life-threatening situations. The inability to access proper care due to an erroneous decision made by a faulty technology is a deeply distressing reality for these individuals.

Seeking Accountability and Change

Advocacy groups and individuals affected by Humana’s AI tool are determined to hold the company accountable for its actions. The lawsuit seeks to bring attention to the company’s unethical practices and calls for a comprehensive review of the AI tool’s effectiveness and accuracy. Additionally, it urges Humana to establish clear protocols that ensure proper human oversight in the decision-making process.

A Wake-Up Call for the Healthcare Industry

The lawsuit against Humana serves as a wake-up call for the entire healthcare industry. It highlights the potential dangers of relying heavily on AI tools with significant error rates, especially when they involve life-or-death decisions. This case should prompt a thorough assessment of all AI-enabled systems within the healthcare sector, ensuring that patient safety and well-being remain the top priority.

Humana’s Response

At present, Humana has not provided an official statement regarding the allegations made in the lawsuit. As the legal proceedings progress, it is crucial for the company to address the concerns raised and take responsibility for potential shortcomings in their AI tool’s performance. The outcome of this case could have significant implications for the future use of AI technology in healthcare.

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