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UnitedHealthcare
Trends
- 1AI is deciding whether patients get medical care●AI is deciding whether or not people receive medical care
Insurers including UnitedHealthcare, Medicare plans, Cigna and Humana are increasingly using artificial intelligence systems to help decide whether to approve or deny coverage for medical care. The concern is that automated tools may override doctors' judgments and deny necessary treatments, prompting scrutiny of how these algorithms are used and what oversight patients actually have when a machine turns down their care.
- 2
Luigi Mangione's state murder trial has been adjourned, with no immediate word from the court on when proceedings will resume. Mangione is charged in the killing of UnitedHealthcare CEO Brian Thompson in New York City. The case remains the subject of heavy public attention, and the delay leaves both the prosecution and defense waiting on a new schedule.
- 3Mangione defense team to argue psychiatric defense●Luigi Mangione's attorneys plan to present 'affirmative psychiatric defense'
Attorneys for Luigi Mangione, accused of killing UnitedHealthcare CEO Brian Thompson, say they plan to present an affirmative psychiatric defense in his case. The strategy would involve presenting mental health evidence to address questions of his state of mind at the time of the shooting. The announcement adds a new dimension to a case that has drawn intense national attention.
- 4UnitedHealthcare to drop prior authorization for about 1,700 procedures▼UnitedHealthcare Is Dropping Prior Authorization for Roughly 1,700 Medical Procedures in October. Only About 120 Apply to Medicare Advantage, Where It Denied 17% of Standard Requests
UnitedHealthcare says it will eliminate prior authorization requirements for roughly 1,700 medical procedures starting in October. Critics note only about 120 of those changes affect Medicare Advantage plans, where the insurer denied around 17% of standard prior authorization requests. The move is being read as a partial response to mounting scrutiny of insurers' coverage denial practices and administrative barriers for patients and doctors.