WF-53EQUB
Length of Stay False Diagnosis Cut Off Insurer's Payment for Treatment of Elderly Woman
An elderly Wisconsin woman was algorithmically determined to have a rapid recovery, an output which the insurer based on to cut off payment for her treatment despite medical notes showing her still experiencing debilitating pain.
- Date it happened
- 2019-06-03
- Organisation involved
- Security Health Plan, NaviHealth
- Product, system or model
- nH Predict uses details such as a person's diagnosis, age, living situation, and physical function to find similar individuals in a database of 6 million patients it compiled over years of working wit
Where this came from
Attribution
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