Lawsuit Says UnitedHealth Used AI With a 90% Error Rate to Deny Care

Families of two Medicare Advantage patients filed a class-action lawsuit against UnitedHealth, UnitedHealthcare, and NaviHealth, alleging the nH Predict algorithm denied post-acute care with a 90% error rate. According to KFF, appeals are granted in 90% of cases, but only 0.2% of patients file them. The families spent about $220,000 out of pocket.

• Lawsuit filed November 14, 2023, in Minnesota court
• 90% of AI-related denials are overturned on appeal
• Only 0.2% of Medicare Advantage patients appeal
• Lokken and Tetzloff families paid about $150,000 and $70,000