<code id='5ECFDE1FF4'></code><style id='5ECFDE1FF4'></style>
    • <acronym id='5ECFDE1FF4'></acronym>
      <center id='5ECFDE1FF4'><center id='5ECFDE1FF4'><tfoot id='5ECFDE1FF4'></tfoot></center><abbr id='5ECFDE1FF4'><dir id='5ECFDE1FF4'><tfoot id='5ECFDE1FF4'></tfoot><noframes id='5ECFDE1FF4'>

    • <optgroup id='5ECFDE1FF4'><strike id='5ECFDE1FF4'><sup id='5ECFDE1FF4'></sup></strike><code id='5ECFDE1FF4'></code></optgroup>
        1. <b id='5ECFDE1FF4'><label id='5ECFDE1FF4'><select id='5ECFDE1FF4'><dt id='5ECFDE1FF4'><span id='5ECFDE1FF4'></span></dt></select></label></b><u id='5ECFDE1FF4'></u>
          <i id='5ECFDE1FF4'><strike id='5ECFDE1FF4'><tt id='5ECFDE1FF4'><pre id='5ECFDE1FF4'></pre></tt></strike></i>

          hotspot

          hotspot

          author:leisure time    Page View:852
          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

          Medical records are filled with copy
          Medical records are filled with copy

          AdobeIrecentlytookcareofapatientwhosemedicalrecordsincludedmultiplenotesaboutherpastopen-heartsurger

          read more
          Medicare threatens to cut off funding for HCA's Mission hospital
          Medicare threatens to cut off funding for HCA's Mission hospital

          MikeBellemeforSTATFiveyearsafterinvestor-ownedHCAHealthcaretookoveranesteemednonprofithospitalinNort

          read more
          New Eli Lilly Alzheimer’s data poses Medicare coverage conundrum
          New Eli Lilly Alzheimer’s data poses Medicare coverage conundrum

          CMSAdministratorChiquitaBrooks-LaSureChipSomodevilla/GettyImagesWASHINGTON— EliLilly’slatestanti-amy

          read more

          'Revelatory' study finds a smoking impact that remains after quitting

          YASSERAL-ZAYYAT/AFPviaGettyImagesPublichealthmessageshavetoldusfordecadesthatifyousmoke,youshouldqui