> An #algorithm, not a doctor, predicted a rapid recovery for Frances Walter, an 85-year-old Wisconsin woman with a shattered left shoulder and an allergy to pain medicine...
> On the 17th day, her #MedicareAdvantage insurer, #SecurityHealthPlan.. cut off payment for her care.. Meanwhile, medical notes in June 2019 showed Walter’s pain was maxing out the scales and that she could not dress herself, go to the bathroom, or even push a walker without help.
https://www.statnews.com/2023/03/13/medicare-advantage-plans-denial-artificial-intelligence/
#AgenticShift

“Denied by AI: How Medicare Advantage plans use algorithms to cut off care for seniors in need”

“STAT is investigating denials and appeals in Medicare Advantage, and the role that technology plays in those decisions. If you have an experience with Medicare Advantage denials, please share your story with us.”

#MedicareAdvantage #Medicare #healthInsurance #artificialIntelligence #AI #algorithms #SecurityHealthPlan #NaviHealth #UnitedHealthGroup #UnitedHealthcareAdvantage

https://www.statnews.com/2023/03/13/medicare-advantage-plans-denial-artificial-intelligence/