Any thoughts on United Health Care use of AI with A 90% error rate? Here is an article for you can read: UnitedHealth uses AI model with 90% error rate to deny care, lawsuit alleges
This situation highlights the dangers of rolling out AI Technology without proper processes around the AI solution, as an example the data set used to generate the length of stay in the nursing homes should have been vetted out by providers or the AI solution should have been used as a suggestion to providers and the accepted suggestions should have been flagged to create a clean data set, which could have been reviewed by providers to approve. Also the AI’s suggestion should never have overwritten the provider’s clinical decisions.
This mistake cost customers of United Health hundreds of thousands of dollars.