What We've Been Up To

November Benefit News

Is AI Wrongly Denying UnitedHealthcare Claims? A class-action lawsuit against UnitedHealthcare has been issued for allegedly using an artificial intelligence algorithm, nH Predict, to wrongfully deny coverage under Medicare Advantage health policies. The lawsuit claims that the algorithm was used to override physician recommendations and deny claims for extended-care facility stays for elderly patients. The […]

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May Benefit News

Pharmacy Benefit Managers (PBMs) Under Fire in Washington For years lawmakers have aimed criticism at pharmaceutical companies for the increasing costs of medications in the United States. However, the cost of prescriptions lies in the lap of three of the largest pharmacy benefit managers (PBMs), OptumRx, Caremark, and Express Scripts. These PBMs also happen to […]

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