CMS warns insurers against using AI to deny Medicare Advantage care
The Centers for Medicare & Medicaid Services (CMS) clarified that health insurers cannot use algorithms or AI to deny care to Medicare Advantage members. This follows lawsuits alleging UnitedHealth and Humana used an AI tool, nH Predict, to wrongfully deny post-acute care to elderly patients. The tool reportedly produced rigid estimates ignoring individual patient needs, leading to premature denials. CMS warned that non-compliance could result in penalties and increased audits.
- Company involved
- UnitedHealth, Humana
- AI system involved
- nH Predict
10 source articles · read the reporting →
Apple Intelligence feature flags scam messages as priority alerts
Apple's 'Apple Intelligence' notification summarisation feature, introduced in late 2024, is reportedly prioritising scam messages on iPhones, iPads, and Macs. Users have reported that the AI struggles to differentiate fraudulent emails from genuine alerts, with one user seeing a scam email claiming he owed $465 flagged as a priority. Experts warn that the summarisation removes context, potentially making scams more effective. Apple has stated it plans to update the feature to clarify when summaries are AI-generated.
- Company involved
- Apple
- AI system involved
- Apple Intelligence
5 source articles · read the reporting →
Nippon Life Sues OpenAI Alleging ChatGPT Engaged in Unauthorized Practice of Law
Nippon Life Insurance Company of America filed a lawsuit against OpenAI, alleging that ChatGPT acted as an unlicensed attorney by advising a former disability claimant to reopen a settled case and drafting dozens of meritless motions. The insurer claims the AI's actions constitute unauthorized practice of law under Illinois statute and seeks $300,000 in compensatory damages. OpenAI has denied the allegations, calling the complaint meritless. The case is pending in federal court in Chicago.
- Company involved
- OpenAI
- AI system involved
- ChatGPT
2 source articles · read the reporting →
xAI Blames Unauthorized Code Change for Grok Chatbot's 'White Genocide' Rants
On 14 May 2025, xAI's Grok chatbot began responding to unrelated posts on X with rants about 'white genocide' in South Africa. xAI claims an unauthorized modification to the system prompt caused the behaviour, which it says violated internal policies. The company announced new transparency measures, including publishing system prompts on GitHub and adding review processes, after the incident.
- Company involved
- xAI
- AI system involved
- Grok
10 source articles · read the reporting →
Deloitte to refund Australian government after AI-generated report errors
Deloitte used generative AI (Azure OpenAI GPT-4o) to help produce an independent assurance review for Australia's Department of Employment and Workplace Relations. The report, published in July 2025, contained multiple errors including non-existent academic references and a fabricated court case. After the errors were flagged, Deloitte acknowledged the AI use and agreed to refund the final instalment of the A$439,000 contract. The report was corrected, but its substance and recommendations remained unchanged.
- Company involved
- Deloitte
- AI system involved
- Azure OpenAI GPT-4o
5 source articles · read the reporting →
KPMG drops AI report after false case studies exposed
KPMG removed a global report on AI after multiple case studies were found to be inaccurate and apparently generated from AI hallucinations. The report falsely claimed that UBS, NHS Greater Manchester, Swiss Federal Railways and Transport for London used AI agents in various ways. The companies denied the claims, and KPMG took the report down while reviewing its production.
- Company involved
- KPMG
3 source articles · read the reporting →
EEOC sues iTutorGroup for automated rejection of older tutor applicants
The US Equal Employment Opportunity Commission (EEOC) alleges that tutoring provider iTutorGroup programmed its recruitment software automatically to reject female applicants aged 55 or older and male applicants aged 60 or older. More than 200 qualified US-based applicants were denied work in 2020. The EEOC has filed a lawsuit in the Eastern District of New York seeking back pay and damages.
- Company involved
- iTutorGroup
10 source articles · read the reporting →
Evans v. Robertson (4) (E.D. Michigan): AI-hallucinated content in court filing, Briefs (both sides) struck
The AI system generated hallucinated legal citations in court filings, causing the court to strike the briefs of both plaintiff and defendant.
1 source article · read the reporting →
Google, Microsoft, and Perplexity AI search results promote racist IQ data
AI-powered search engines from Google, Microsoft, and Perplexity have been surfacing debunked research promoting race science, including false IQ scores for countries. The systems pulled data from a dataset by Richard Lynn, a known proponent of scientific racism. Google removed the offending Overviews after being contacted by WIRED, but the data still appears in featured snippets and other AI tools.
- Company involved
- Google, Microsoft, and Perplexity
- AI system involved
- AI Overviews, Copilot, Perplexity
7 source articles · read the reporting →
Finnish recruitment company Digital Minds used AI to analyze job applicants' messages, prompting data protection investigation
Digital Minds, a Finnish recruitment company founded by psychologists, used IBM Watson AI to analyze job applicants' social media and email messages for personality assessments. The company obtained written consent but the Finnish Data Protection Ombudsman launched an investigation, suspecting violations of data protection laws and the secrecy of correspondence. The service was used on fewer than ten applicants and has been paused pending the investigation.
- Company involved
- Digital Minds
- AI system involved
- IBM Watson
9 source articles · read the reporting →
DeepScore markets facial and voice analysis app for trustworthiness scoring despite experts' doubts
DeepScore, a Tokyo-based company, is marketing an app that uses facial and voice recognition to score people's trustworthiness for lenders and insurers in Japan, Indonesia, Vietnam and the Philippines. The company says the app can detect deception with 70 per cent accuracy, but researchers and privacy advocates say there is no reliable scientific basis for such judgments and warn of discrimination and privacy harms. The chief executive said the system is only one part of lenders' and insurers' decision-making and that people can choose not to use it. Critics respond that an unequal balance of power makes consent difficult.
- Company involved
- DeepScore
- AI system involved
- DeepScore
6 source articles · read the reporting →
Michael L. Ruiz v. Magellan Financial & Insurance Services (2) (D. Arizona): AI-hallucinated content in court filing, Formal public reprimand
AI-hallucinated fake quotations were included in court filings submitted by counsel Elizabeth Tate, misleading the court.
1 source article · read the reporting →
Lemonade backtracks on tweet claiming AI scans customer faces for fraud
Lemonade, an insurance firm, posted a tweet claiming it uses AI to detect non-verbal cues in customer videos to deny claims. After backlash comparing the practice to phrenology, the company deleted the tweet and denied using AI to deny claims based on facial characteristics. Lemonade stated it uses facial recognition only to flag claims submitted under different identities, which are then reviewed by human investigators.
- Company involved
- Lemonade
10 source articles · read the reporting →
Hospitals use Epic AI to predict Covid-19 decline without validation
Dozens of hospitals across the US are using Epic's deterioration index AI system to predict which Covid-19 patients will become critically ill, despite the tool not being validated for the new disease. The rapid deployment during the pandemic bypassed normal testing and validation processes.
- AI system involved
- Deterioration index
9 source articles · read the reporting →
California regulator accuses Maxpread Technologies of using AI-generated fake CEO to scam investors
Maxpread Technologies allegedly used an AI-generated avatar to pose as its CEO in a YouTube video to deceive investors. The California DFPI issued cease and desist letters to Maxpread and four other companies for offering unqualified securities and making false promises. The regulator claims the companies promised high daily returns using AI trading, but these claims were false. Maxpread did not respond to requests for comment.
- Company involved
- Maxpread Technologies
8 source articles · read the reporting →
UnitedHealthcare sued for using AI to deny Medicare Advantage patients care
A class action complaint alleges that UnitedHealthcare and its subsidiary naviHealth deployed an artificial intelligence model to override treating physicians' determinations of medically necessary care for elderly Medicare Advantage patients. The complaint claims the AI model has a known 90% error rate and wrongfully denied patients care. The lawsuit, filed in the U.S. District Court for the District of Minnesota, seeks damages on behalf of the estates of two deceased patients and all others similarly situated.
- Company involved
- UnitedHealthcare, Inc.
10 source articles · read the reporting →
FTC settles with IntelliVision over deceptive facial recognition claims
The Federal Trade Commission (FTC) took action against IntelliVision Technologies Corp. for making false, misleading, or unsubstantiated claims about its AI-powered facial recognition software. The company allegedly claimed its software had one of the highest accuracy rates on the market and was free of gender or racial bias, without supporting evidence. The FTC also alleged that IntelliVision did not train its software on millions of faces as claimed, but on images of approximately 100,000 individuals. Under a proposed consent order, IntelliVision is prohibited from making such misrepresentations without competent and reliable testing.
- Company involved
- IntelliVision Technologies Corp.
- AI system involved
- IntelliVision facial recognition software
9 source articles · read the reporting →
UnitedHealth used ALERT algorithm to limit mental health coverage, regulators found
ProPublica reports that UnitedHealth Group's Optum subsidiary used the ALERT algorithm to flag mental health patients and therapists as outliers, leading to therapy coverage denials. Regulators in California, Massachusetts and New York alleged this breached the federal Mental Health Parity and Addiction Equity Act, and UnitedHealth agreed to restrict the system in those jurisdictions. The company denies wrongdoing and says its programmes are compliant. Affected patients, including Medicaid enrollees, were left to pay out-of-pocket or go without care.
- Company involved
- UnitedHealth Group
- AI system involved
- ALERT
5 source articles · read the reporting →
Elsevier's Journal of Human Evolution editors resign over AI use in production
All but one member of the editorial board of Elsevier's Journal of Human Evolution resigned in December 2024, citing concerns including the use of AI in production without informing the board. The AI system caused formatting errors and reversed accepted papers, requiring extensive oversight. Elsevier denied the errors were due to AI and said they had reverted to the previous system. The editors allege that AI processing continues to be used and undermines editorial independence.
- Company involved
- Elsevier
- AI system involved
- AI production workflow
5 source articles · read the reporting →
Beus Gilbert PLLC v. Brigham Young University et al. (D. Utah): AI-hallucinated content in court filing, Two AI-ethics CLE courses;…
The AI system generated fake legal citations that were included in a court filing, misleading the court and opposing counsel.
1 source article · read the reporting →
Apple launches official site for iPhone users to claim cash from $250M AI settlement - UNILAD Tech
Apple advertised iPhones as ready for AI features that were not delivered, affecting purchasers.
- Company involved
- Apple
- AI system involved
- Apple Intelligence
1 source article · read the reporting →
EviCore denied heart catheterization for patient using algorithm
In fall 2021, Little John Cupp's doctor requested a left heart catheterization exam. EviCore, a company hired by UnitedHealthcare, denied the request twice using an algorithm called 'the dial' that adjusts thresholds for review. The algorithm flagged the request for review, and EviCore's doctors determined it was not medically necessary. Cupp did not receive the procedure and his symptoms continued.
- Company involved
- EviCore (a Cigna company)
- AI system involved
- the dial
6 source articles · read the reporting →
IRCC uses AI triage for Temporary Resident Visa applications
Immigration, Refugees and Citizenship Canada (IRCC) uses an AI system called Advanced Analytics to triage Temporary Resident Visa applications from India and China. The system categorizes applications into tiers, with Tier 1 approved automatically and others sent to human officers. Critics allege the system lacks transparency and may introduce bias, leading to visa refusals without clear rationale. The author, a Canadian immigration lawyer, is filing Federal Court cases on behalf of clients affected by refusals.
- Company involved
- Immigration, Refugees and Citizenship Canada (IRCC)
- AI system involved
- Advanced Analytics Triage of Overseas Temporary Resident Visa Applications
10 source articles · read the reporting →
Humana sued for using AI to deny seniors rehabilitation care
Health insurer Humana is accused in a class-action lawsuit of using an AI algorithm to systematically deny rehabilitation care to Medicare Advantage patients, despite recommendations from their doctors. The lawsuit, filed on December 12, 2023, alleges that the AI tool restricted medically necessary care. This is the second major health insurer to face legal action over its use of AI to deny care.
- Company involved
- Humana
9 source articles · read the reporting →
