Public records from the US Congress or official government announcements

Senate Investigation Reveals AI Use and $10k Bonuses by Medicare Advantage Insurers to Deny Claims

Oct 17, 2024, 11:38 AM

A recent Senate investigation has revealed that major Medicare Advantage insurers have been using advanced technology, including artificial intelligence, to deny claims. The investigation, which heavily cites a detailed report by STAT News, highlights how insurers are leveraging AI to deny prior authorizations for post-acute care. Internal documents also show UnitedHealth's strategy to incentivize doctors with $10,000 bonuses, a doctor dashboard, and other measures to increase diagnoses for Medicare Advantage patients. This comprehensive probe underscores the growing concern over the use of technology in healthcare to potentially limit patient access to necessary treatments.