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05/03/2025 - Class Action Moves Forward Over UnitedHealth’s AI Claim Denials (USA)

argument: Notizie/News - Health Law

Source: Healthcare Finance News

Healthcare Finance News reports that a class action lawsuit against UnitedHealth is moving forward, focusing on allegations that the company’s AI-driven claim processing system wrongfully denied health insurance claims. Plaintiffs argue that the AI system prioritized cost-saving measures over patient care, leading to unjust claim denials and putting patients at risk.

The lawsuit raises significant legal and ethical questions about the use of AI in healthcare decision-making, especially regarding transparency, accountability, and patient rights. Plaintiffs claim that the algorithm used by UnitedHealth lacked proper oversight and failed to consider individual patient needs when processing claims.

Legal experts note that the outcome of this case could set an important precedent for how AI is regulated in the health insurance industry. It highlights the growing tension between the efficiency offered by AI systems and the ethical obligation to prioritize patient well-being.