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Medicare Advantage insurers ramped up use of technology to deny claims, Senate investigation shows

The nation's three largest Medicare Advantage insurers increasingly refused to ... Medicare Advantage insurers ramped up use of technology to deny claims, Senate investigation shows. By STAT News ... Read More
How Health Insurers Racked Up Billions in Extra Payments From Medicare Advantage - WSJ - The Wall Street Journal

Throughout the past year, The Wall Street Journal investigated how UnitedHealth Group and other giant insurers extracted billions in extra payments from the $450-billion-a-year Medicare Advantage ... Read More
Senate report slams Medicare Advantage insurers for using predictive technology to deny claims

Senate report slams Medicare Advantage insurers for using predictive technology to deny claims UnitedHealth, CVS and Humana used technology to increase MA prior authorization denials for post ... Read More
Denied by a Bot? Doctors Warn AI Is Blocking Your Medicare Advantage Coverage
Medicare Advantage insurers have increasingly used artificial intelligence to decide whether to approve or deny medical services, especially for post-acute care, like stays in rehab facilities or ... Read More
UnitedHealthcare accused of relying on AI algorithms to deny Medicare Advantage claims - Fox Business

In an October report, "How Medicare Advantage Insurers Have Denied Patients Access to Post-Acute Care," Democrats on the U.S. Senate Permanent Subcommittee on Investigations (PSI) released a ... Read More
Use of Prior Authorization Up in Medicare Advantage Plans, Senate Report Finds - MSN

While the use of prior authorization has expanded significantly for all types of insurance since the 1980s, its use in Medicare Advantage plans has particularly increased in the last 5 years. Read More
Senate report hits top 3 Medicare Advantage insurers over ‘refusal’ of skilled nursing, other coverage

“Refusal of Recovery: How Medicare Advantage Insurers Have Denied Patients Access to Post-Acute Care” examined data and internal documents from UnitedHealthcare, Humana and CVS to better ... Read More
The Facts Behind Accusations That UnitedHealthcare Uses Error-Prone AI to Deny Claims - Snopes.com

A lawsuit filed November 2023 against UnitedHealth Group, which is UnitedHealthcare's parent company, claimed the company used the error-prone technology to deny claims from patients with Medicare ... Read More
Insurers increasingly deploy AI and deny post-acute care: Senate

The country’s three largest Medicare Advantage (MA) insurers obstruct seniors’ ability to receive post-acute care, a scathing report from the U.S. Senate Permanent Subcommittee on ... Read More
Combatting Medicare Fraud With Technology And Human Collaboration - Forbes

By implementing proactive, technology-driven solutions that work in tandem with healthcare professionals, we can create a more accurate, efficient and trustworthy Medicare system that improves the ... Read More
Medicare Advantage insurers ramped up use of technology to deny claims, Senate investigation shows

Medicare Advantage insurers ramped up use of technology to deny claims, Senate investigation shows UnitedHealth, Humana, and CVS denied a quarter of all post-acute coverage requests for MA ... Read More
STAT+: Medicare Advantage insurers ramped up use of technology to deny claims, Senate investigation shows - Benzinga

The nation’s three largest Medicare Advantage insurers increasingly refused to pay for rehabilitative care for seniors in the years after adopting sophisticated technologies to aid in their ... Read More
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