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1 story1 UnitedHealth AI With 90% Error Rate Cut Off Senior Care In Minnesota Class Action AI Sep 20, 12:04 PM EDT 3/3
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UnitedHealth AI With 90% Error Rate Cut Off Senior Care In Minnesota Class Action
AI Sep 20, 12:04 PM EDT 3/3
The estate of 91 year old Gene Lokken is leading a lawsuit claiming UnitedHealth used flawed algorithms to stop medical coverage for Medicare Advantage enrollees. A Minnesota court filing alleges the company ignored a 90% error rate in its AI model to deny nursing home rehab for elderly patients because only 0.2% of users file appeals to contest the decisions.
More than 90% of these coverage denials are reversed upon internal appeal or before a federal administrative law judge. Lokken's family paid between $12,000 and $14,000 per month out of pocket after the insurer stopped payment despite therapist notes citing reduced mobility. The class action case is currently in the discovery phase.