<code id='C0E349926C'></code><style id='C0E349926C'></style>
    • <acronym id='C0E349926C'></acronym>
      <center id='C0E349926C'><center id='C0E349926C'><tfoot id='C0E349926C'></tfoot></center><abbr id='C0E349926C'><dir id='C0E349926C'><tfoot id='C0E349926C'></tfoot><noframes id='C0E349926C'>

    • <optgroup id='C0E349926C'><strike id='C0E349926C'><sup id='C0E349926C'></sup></strike><code id='C0E349926C'></code></optgroup>
        1. <b id='C0E349926C'><label id='C0E349926C'><select id='C0E349926C'><dt id='C0E349926C'><span id='C0E349926C'></span></dt></select></label></b><u id='C0E349926C'></u>
          <i id='C0E349926C'><strike id='C0E349926C'><tt id='C0E349926C'><pre id='C0E349926C'></pre></tt></strike></i>

          hotspot

          hotspot

          author:comprehensive    Page View:4726
          A sign of Humana insurance company on a brick building — business coverage from STAT
          Adobe

          Medicare Advantage beneficiaries on Tuesday filed a class-action lawsuit alleging that the health insurance giant Humana illegally used an algorithm to prematurely cut off payment for rehabilitation care after patients suffered serious illnesses and injuries.

          The suit, filed in U.S. District Court in Western Kentucky, argues Humana’s reliance on the algorithm, known as nH Predict, was part of a fraudulent scheme to reap a windfall by systematically denying claims to desperately ill people.

          advertisement

          It is the second suit filed following a STAT investigation that found Medicare Advantage insurers nationwide are using the algorithm to cut off patients’ rehab care, forcing them to forgo treatment or pay thousands of dollars out of pocket. An earlier complaint was filed in November against the algorithm’s maker, NaviHealth, and the company that owns NaviHealth, UnitedHealth Group.

          Get unlimited access to award-winning journalism and exclusive events.

          Subscribe Log In

          explore

          Sports medicine is finally prioritizing gender equality
          Sports medicine is finally prioritizing gender equality

          MollyFergusonforSTATWhencyclistAlisonTetrickjoinedthesport’sprofessionalranks,shereceivedtheperkstha

          read more
          Medical mystery: When an infection after surgery isn’t what it seems
          Medical mystery: When an infection after surgery isn’t what it seems

          MollyFergusonforSTATWhenMs.NcametoDr.JohnHogan’sofficelastAugust,ithadbeennearlythreemonthssincesheh

          read more
          Malaria cases in Florida and Texas: Here’s what you need to know
          Malaria cases in Florida and Texas: Here’s what you need to know

          MosquitoscaughtfortestingawaitshipmenttoalabinMcAllen,Texas,inApril2016tobetestedformosquito-bornedi

          read more

          Medical mystery: When an infection after surgery isn’t what it seems

          MollyFergusonforSTATWhenMs.NcametoDr.JohnHogan’sofficelastAugust,ithadbeennearlythreemonthssincesheh