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 →
Flawed AI System for Predicting Teen Pregnancy in Salta Raises Concerns
In 2018, the Governor of Salta, Argentina, announced a pilot program using artificial intelligence to predict which adolescent girls would become pregnant, claiming 86% accuracy. Researchers at the Laboratorio de Inteligencia Artificial Aplicada found serious methodological errors, including data leakage that inflated accuracy and the use of inadequate survey data. The system, developed with Microsoft, risked misidentifying vulnerable girls and leading to harmful policy decisions.
- Company involved
- Ministerio de Primera Infancia de Salta
4 source articles · read the reporting →
DOGE's Flawed AI Tool Threatens Veterans Affairs Services
The Department of Government Efficiency developed an AI tool to identify unnecessary VA contracts, but it used outdated models and lacked context, leading to misclassification. At least 24 contracts were canceled, affecting cancer research and nurse care tools. The VA acknowledged the tool's role but stated all contracts undergo human review. Experts criticized the use of AI for such complex decisions.
- Company involved
- Department of Veterans Affairs
- AI system involved
- Muncher
2 source articles · read the reporting →
Estonia used AI to remove benefits from elderly without human involvement
The Council of Europe Human Rights Commissioner reported that Estonia's social security system used AI to establish incapacity levels and remove benefits from elderly people without human involvement. The system allegedly made decisions automatically, leading to complaints from NGOs.
8 source articles · read the reporting →
UK government using AI for benefits and immigration decisions
The UK government is reportedly using artificial intelligence to make decisions on welfare benefits and immigration applications. The system automates decisions previously made by human caseworkers. Concerns have been raised about the fairness and transparency of such automated decisions.
10 source articles · read the reporting →
Predictim AI babysitter screening raises accuracy and bias concerns
Jessie Battaglia used Predictim, an online service that claims to use AI to assess babysitters' risk of drug abuse, bullying, or bad attitude. The service analyzes social media profiles and other online data. Experts have raised concerns about the accuracy and potential bias of the AI assessments. Predictim's CEO defended the service, saying it provides additional information for parents.
- Company involved
- Predictim
- AI system involved
- Predictim
10 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 →
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 →
Texas AG Settles with Pieces Technologies Over Deceptive Healthcare AI Claims
The Texas Attorney General investigated Pieces Technologies, a Dallas-based healthcare AI company, for making false and misleading statements about the accuracy of its generative AI product used in hospitals. The company claimed an error rate of less than 1 per 100,000, but the investigation found these metrics were likely inaccurate. As part of the settlement, Pieces agreed to accurately disclose its product's accuracy and ensure hospital staff understand the appropriate reliance on its AI. The case marks the first-of-its-kind healthcare generative AI investigation by the AG.
- Company involved
- Pieces Technologies
4 source articles · read the reporting →
UIUC researchers use OpenAI API to automate phone scams for under a dollar
Researchers at the University of Illinois Urbana-Champaign used OpenAI's Realtime API to create AI agents that can autonomously execute phone scams. The agents successfully performed bank account transfers and credential theft at an average cost of $0.75 per scam. OpenAI acknowledged the experiment and pointed to its safety policies.
- Company involved
- University of Illinois Urbana-Champaign
- AI system involved
- GPT-4o Realtime API
6 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 →
AI drug discovery system repurposed to generate toxic molecules in demonstration
In 2020, Collaborations Pharmaceuticals demonstrated that its AI drug discovery system, MegaSyn, could be repurposed to generate toxic molecules similar to the nerve agent VX. The company ran the software overnight and produced 40,000 potentially hazardous substances. The researchers presented their findings at a conference and briefed the White House, warning that such AI systems could be misused to create chemical weapons.
- Company involved
- Collaborations Pharmaceuticals
- AI system involved
- MegaSyn
10 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 →
Retorio AI personality test swayed by candidate appearance in BR experiment
Bayerischer Rundfunk journalists conducted experiments with Retorio's AI video interview analysis tool. The AI, which assesses personality traits from short videos, produced different scores when the same actress changed her appearance (glasses, headscarf, wig) or the video background and lighting were altered. The start-up Retorio acknowledged that the AI considers external image, similar to a human interviewer. Experts warned that such software could perpetuate stereotypes and unfairly affect job candidates.
- AI system involved
- Retorio AI
10 source articles · 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 →
Kaedim used human artists instead of AI for 3D model generation
Kaedim, an AI startup that claimed to use machine learning to convert 2D illustrations into 3D models, actually used human artists to produce the models, according to sources. The company's founder was featured in Forbes 30 Under 30 for the technology. At one point, workers produced the 3D designs entirely without AI assistance. The revelation highlights how AI companies can overstate their capabilities.
- Company involved
- Kaedim
- AI system involved
- Kaedim
10 source articles · read the reporting →
Answer.AI tests Devin and reports 14 failures in 20 tasks
Answer.AI's team tested Devin, an autonomous AI coding assistant, on 20 real-world tasks over a month. Devin succeeded in only 3 tasks, failed 14, and was inconclusive in 3. The team found Devin often produced overly complex or hallucinated solutions and could not recognize fundamental blockers. They ultimately decided to stick with tools that allow more human control.
- AI system involved
- Devin
5 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 →
Presto Automation uses off-site human agents to double-check AI drive-thru orders
Presto Automation Inc, which markets an AI voice assistant for drive-thru ordering, used off-site human agents in countries including the Philippines to double-check orders in more than 70% of customer interactions, according to SEC filings reported by Bloomberg. The company told Bloomberg that the process helps train its system and should reduce human intervention over time. Presto's drive-thru AI is used in more than 400 restaurants, including Del Taco, Carl's Jr and Checkers, and its stock fell more than 10% after the reports.
- Company involved
- Presto Automation Inc.
8 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 →
Judge rules lawsuit over UnitedHealth’s AI care denials can move forward - STAT
The system denied necessary medical care to Medicare Advantage beneficiaries.
- Company involved
- UnitedHealth Group
1 source article · read the reporting →
