AI in Healthcare: Revealing the Risks and Challenges Ahead



 AI represents a promising frontier, especially in healthcare, where leveraging vast information could revolutionize problem-solving. However, a shadow looms over AI, as anticipated by many. In the realm of health insurance and patient care denials, AI has already stirred controversy, leading to a notable class action lawsuit.

According to reports from healthcare News, Health Insurance Plans, a major Medicare Advantage Plan insurer, faces legal action for employing artificial intelligence within an algorithm that allegedly resulted in unjustly denied care for numerous individuals. Quoting the lawsuit’s introduction, the plaintiffs claim:

“The core of this class action stems from the unlawful use of artificial intelligence (AI) in lieu of qualified medical professionals, leading to the wrongful denial of essential care owed to elderly patients under Medicare Advantage Plans. This denial overrides the diagnoses provided by treating physicians, relying on an AI model with a purported 90% error rate.”

The plaintiffs further contend that the technology empowers the company to “aggressively deny coverage,” knowing they won’t face repercussions for these erroneous rejections. The complaint emphasizes that those refused care are predominantly elderly, with only a small fraction contesting these unjust denials.

https://www.allzonems.com/ai-in-healthcare-revealing-the-risks-and-challenges-ahead/

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