The record

Where automated decisions went wrong

Incidents gathered from public reporting around the world. Each one links to the articles it came from. None of it is a finding that anyone broke the law.

Reports people file about their own experience are not shown here and never will be without their agreement. Tell us what happened to you.

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69 incidents closest to “Risk Adjustment” · matched on meaning · public 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 →

WF-89GNUB1 Oct 2018

AMS algorithm lacks transparency and may discriminate against job seekers

The Austrian Public Employment Service (AMS) uses an algorithm to classify job seekers into categories A, B, and C, determining their access to benefits and training. Scientists from TU Wien, WU Wien, and University of Vienna have criticised the algorithm for lacking transparency, as only two of 96 model variants have been published. They allege that the system may discriminate against women and people with migration background, and that job seekers are not informed about how the algorithm works or given a chance to appeal.

Company involved
AMS (Arbeitsmarktservice Österreich)
AI system involved
AMS-Algorithmus

10 source articles · read the reporting →

WF-1GYM741 Aug 2020

Austrian court lifts ban on AMS job-chance prediction algorithm

The Austrian Federal Administrative Court overturned a ban by the Data Protection Authority on the AMS algorithm, which predicts job chances of unemployed people. The system, trained on historical data including age, gender, and nationality, categorises individuals as high, medium or low chance of re-employment. Critics argue it discriminates against women and mothers, and that the data is now outdated due to the COVID-19 pandemic. The court ruled that the algorithm is lawful as long as a human advisor makes the final decision on training support.

Company involved
Arbeitsmarktservice (AMS)
AI system involved
AMS-Algorithmus

5 source articles · read the reporting →

WF-GP9JON1 Jan 2013

Allstate's proposed retention model charged big spenders more in Maryland

Allstate proposed an auto insurance rate adjustment plan in Maryland using a retention model algorithm that varied premium changes based on existing premiums. The algorithm would have increased rates up to 20% for customers already paying the highest premiums while capping increases at 5% for others, and would have denied meaningful discounts to thousands owed reductions. The Maryland Insurance Administration rejected the plan as discriminatory, but Allstate claims it was withdrawn and has continued proposing similar models elsewhere. The proposal never took effect in Maryland.

Company involved
Allstate Corporation
AI system involved
retention model

9 source articles · read the reporting →

WF-W8NDC11 Jul 2015

New York City's McKinsey-led jail violence program manipulated data, violence increased

New York City paid McKinsey & Company $27.5 million to reduce violence at Rikers Island jail complex. McKinsey designed a predictive algorithm called the Housing Unit Balancer and Restart housing units, but jail officials and McKinsey consultants stacked the units with compliant inmates to artificially lower violence numbers. Violence actually increased by nearly 50% during the project. The city eventually decided to close Rikers.

Company involved
New York City Department of Correction
AI system involved
Housing Unit Balancer (HUB)

10 source articles · read the reporting →

WF-E7VSR21 Jan 2021

LA's VI-SPDAT housing scoring system gives lower priority to Black and Latino people

The Los Angeles Homeless Services Authority uses the VI-SPDAT scoring system to prioritise unhoused people for subsidised permanent housing. An investigation by The Markup found that Black and Latino people consistently receive lower vulnerability scores than White people, leading to lower priority for housing. The agency has acknowledged the racial disparities and is working on a new tool, but continues to use the current system.

Company involved
Los Angeles Homeless Services Authority
AI system involved
VI-SPDAT

10 source articles · read the reporting →

Wisconsin’s dropout prediction algorithm labels students high risk with racial bias

Wisconsin’s Dropout Early Warning System (DEWS) uses machine learning to predict middle school students' likelihood of graduating on time, relying on factors including race and income. The Markup found the algorithm frequently mislabels students, with a higher false alarm rate for Black and Hispanic students. The Wisconsin Department of Public Instruction has not informed schools of the racial disparities and continues to use the system.

Company involved
Wisconsin Department of Public Instruction
AI system involved
Dropout Early Warning System (DEWS)

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 →

WF-SWP73K1 Apr 2023

USPS algorithm RRECS causes pay cuts for two-thirds of rural mail carriers

The United States Postal Service (USPS) implemented a new algorithm, RRECS, to evaluate rural carrier routes and determine pay. Due to flaws in how carriers scanned packages, the algorithm underestimated route times, resulting in pay cuts for 66 per cent of rural carriers, some losing thousands of dollars annually. Carriers report that they were not adequately trained on the system and that the cuts are scheduled to take effect, though they have been postponed multiple times. The USPS stated that the system is the result of a nationally negotiated agreement.

Company involved
United States Postal Service
AI system involved
RRECS

9 source articles · read the reporting →

University of Chicago report finds US healthcare algorithms rife with bias

A University of Chicago report alleges that algorithms used by hospitals, insurers and other businesses across the US are biased along racial and economic lines. The algorithms help triage patients, predict diabetes and flag those needing extra care, but the report says flawed products were introduced with little oversight. It says inequitable treatment has continued for more than a decade.

7 source articles · read the reporting →

Study finds credit score algorithms less accurate for minorities

A study of 50 million US consumers found that credit scoring algorithms used by mortgage lenders are less accurate for minority and low-income applicants due to sparse credit data, leading to higher rejection rates. The inaccuracy is due to noise in the data, not bias, so fairer algorithms cannot fix it. The study suggests that adjusting for bias had no effect, and that addressing the inaccuracy could reduce disparities by 50%.

Company involved
Mortgage lenders (unnamed)
AI system involved
Credit scoring algorithms

6 source articles · read the reporting →

WF-BSSRTA30 Apr 2019

Danish law enables algorithm to profile unemployed for long-term risk

The Danish parliament passed a law in April 2019 that allows an algorithm to analyse personal data of all unemployed individuals to identify those at risk of long-term unemployment. The system uses data on ethnicity, age, health, and education history to produce a risk score for social workers. Critics, including legal experts and unemployment insurance funds, argue the profiling is stigmatising, lacks transparency, and may violate GDPR. The Danish Data Protection Authority has reopened its review of the law.

Company involved
Danish Ministry of Employment

10 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 →

WF-R2SNAZ1 Jan 2013

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 →

WF-SKRYGZ1 Jan 2018

NHS liver transplant algorithm causes longer waits for younger patients

An NHS computer algorithm that prioritises liver transplant patients most likely to die soon has led to younger patients waiting 156 days longer on average than those over 60. The algorithm, launched in 2018, gives a score based on 21 recipient and seven donor parameters. Patients like Sarah Meredith, 31, have been waiting two years for a transplant. NHS Blood and Transplant defends the system as saving lives but acknowledges the stress on younger patients.

Company involved
NHS Blood and Transplant

10 source articles · read the reporting →

WF-YPK67D1 Feb 2021

NHS QCovid algorithm incorrectly labels young patients as high risk, causing vaccine call-up

The article reports that scientists are questioning the reliability of the QCovid risk prediction algorithm used by the NHS to prioritise COVID-19 vaccinations. Due to missing data on weight or ethnicity, the algorithm automatically assigns a high BMI and high-risk ethnicity, leading to young, healthy patients being incorrectly labelled as high risk and called for early vaccination. GPs have identified hundreds of such cases, causing anxiety and potentially delaying vaccinations for more vulnerable individuals. NHS Digital acknowledged the issue and said clinicians can remove patients from the shielding list.

Company involved
NHS
AI system involved
QCovid

10 source articles · read the reporting →

WF-3333OU22 Sep 2021

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 →

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 →

WF-FSZ9XQ15 Apr 2021

Apple Watch algorithm changes raise research data concerns

Harvard biostatistician JP Onnela found that heart rate variability data exported from an Apple Watch at two different times showed inconsistencies for the same time period, suggesting Apple's algorithms change without warning. The discovery led Onnela's team to abandon plans to use Apple Watches in research studies. Apple said changes to its algorithms only apply to data going forward and did not explain the discrepancy.

Company involved
Apple
AI system involved
Apple Watch

6 source articles · read the reporting →

Black man alleges racial bias in kidney transplant algorithm

An African American man has filed a lawsuit in federal court alleging that the algorithm used to determine kidney transplant priority is racially biased. The plaintiff, a Los Angeles barber, claims the algorithm puts Black patients lower on the waitlist, denying them timely access to organs. He seeks damages and a higher position on the list.

7 source articles · read the reporting →

WF-BMI81A1 Jan 2020

UNOS liver allocation policy reduces transplants in poorer states

The United Network for Organ Sharing (UNOS) implemented a new liver allocation policy in 2020 called the acuity circles system, which prioritizes the sickest patients regardless of location. An analysis by The Markup and The Washington Post found that the policy led to sharp declines in liver transplants in several Southern and Midwestern states and Puerto Rico, while increasing transplants in New York and California. Patients in affected states allege the system disadvantages poorer regions, and hospitals have sued to overturn the policy.

Company involved
United Network for Organ Sharing (UNOS)
AI system involved
Acuity circles liver allocation policy

10 source articles · read the reporting →

WF-YDH39P1 Jan 2013

Swedish welfare agency's AI system flags marginalized groups for fraud investigations

Försäkringskassan, Sweden's Social Insurance Agency, uses an AI risk-scoring system to flag welfare applicants for fraud investigations. The system disproportionately targets women, individuals with foreign backgrounds, low-income earners, and those without university degrees, according to an investigation by Lighthouse Reports and Svenska Dagbladet. Amnesty International has called for the system to be discontinued, citing violations of the right to equality and non-discrimination.

Company involved
Försäkringskassan (Swedish Social Insurance Agency)

6 source articles · read the reporting →

Virginia courts' use of algorithms raises fairness concerns

The Washington Post considers the use of risk-assessment algorithms in Virginia's courts, which were introduced to make judicial decisions fairer. The analysis finds that the outcomes have been far more complicated than expected, raising concerns about the system's fairness. The algorithms affect potentially many criminal defendants across the state.

Company involved
Virginia court system

7 source articles · read the reporting →

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