UnitedHealth is being sued over allegations that it used an algorithm to deny rehabilitation care for Medicare Advantage beneficiaries, despite knowing the algorithm ...

A class action lawsuit filed this week alleges that healthcare giant UnitedHealth Group unlawfully used an artificial intelligence algorithm to deny rehabilitative care to sick Medicare Advantage ...

Hospitals, physicians and health systems are operating in a challenging economic environment characterized by ever-changing payer contracts and increasingly complex payment models. To maintain fiscal ...

Categorizing patients with cancer by their disease stage can be an important tool when conducting administrative claims-based studies. As claims databases frequently do not capture this information, ...

Forbes contributors publish independent expert analyses and insights. I delve into the intricate workings of artificial intelligence. When an individual files a medical insurance claim, they expect ...