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NH Predict
nH Predict is a computer program developed by naviHealth that implements an algorithm that has allegedly been used by health insurance companies including United Healthcare and Humana to automatically deny coverage to patients. It is reported to work by cross-correlating patient health records with those of other patients. It is estimated that such software automates away 50–75% of human labor that would be involved in such tasks. A class action lawsuit (''Estate of Gene B. Lokken et al. v. UnitedHealth Group, Inc. et al.'') was filed in November 2023 against UnitedHealth Group UnitedHealth Group Incorporated is an American Multinational corporation, multinational for-profit company specializing in health insurance and health care services based in Eden Prairie, Minnesota. Selling insurance products under UnitedHealth ... regarding use of this software. UnitedHeath Group have stated that the lawsuit is unjustified. References {{health-software-stub Health care softwar ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] [Amazon] |
Algorithm
In mathematics and computer science, an algorithm () is a finite sequence of Rigour#Mathematics, mathematically rigorous instructions, typically used to solve a class of specific Computational problem, problems or to perform a computation. Algorithms are used as specifications for performing calculations and data processing. More advanced algorithms can use Conditional (computer programming), conditionals to divert the code execution through various routes (referred to as automated decision-making) and deduce valid inferences (referred to as automated reasoning). In contrast, a Heuristic (computer science), heuristic is an approach to solving problems without well-defined correct or optimal results.David A. Grossman, Ophir Frieder, ''Information Retrieval: Algorithms and Heuristics'', 2nd edition, 2004, For example, although social media recommender systems are commonly called "algorithms", they actually rely on heuristics as there is no truly "correct" recommendation. As an e ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] [Amazon] |
United Healthcare
UnitedHealth Group Incorporated is an American multinational for-profit company specializing in health insurance and health care services based in Eden Prairie, Minnesota. Selling insurance products under UnitedHealthcare, and health care services under the Optum brand, it is the world's seventh-largest company by revenue and the largest health care company by revenue. The company is ranked 8th on the 2024 ''Fortune'' Global 500. UnitedHealth Group had a market capitalization of $460.3 billion as of December 20, 2024. UnitedHealth Group has faced numerous investigations, lawsuits, and fines—including SEC enforcement for stock option backdating, Medicare overbilling, unfair claims practices, mental health treatment denials, and anticompetitive behavior—highlighting systemic issues of fraud, patient harm, and corporate misconduct. History 1970s–1990s UnitedHealth Group originated in late 1974, when Minnesota-based Charter Med Incorporated was founded by Richard Tayl ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] [Amazon] |
Humana
Humana Inc. is an American for-profit health insurance company based in Louisville, Kentucky. In 2024, the company ranked 92 on the Fortune 500 list, which made it the highest ranked (by revenues) company based in Kentucky. It is the fourth largest health insurance provider in the U.S. History 1961–1983: Nursing homes and hospitals Lawyers David A. Jones Sr. and Wendell Cherry founded a nursing home company in 1961. The company, known in 1968 as Extendicare Inc., became the largest nursing home company in the United States. In 1972, Jones and Cherry sold the nursing home chain to purchase hospitals. In 1974, the partners changed the corporate name to Humana Inc. The name was meant to change public perception from 'warehousing' or indifferently treating people to providing a higher level of human care and, by extension, more humane care. It grew in the following years, both by business and in 1978 through the takeover of American Medicorp Inc., which doubled the company's ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] [Amazon] |
Class Action
A class action is a form of lawsuit. Class Action may also refer to: * ''Class Action'' (film), 1991, starring Gene Hackman and Mary Elizabeth Mastrantonio * Class Action (band), a garage house band * "Class Action" (''Teenage Robot''), a 2002 episode of ''My Life as a Teenage Robot'' *''Class Action'', a play by Brad Slaight *''Class Action'', a 2002 book that was the basis for the film '' North Country'' *''Cla$$ Action'', a 2005 novel by Henry Denker {{Disambiguation ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] [Amazon] |
UnitedHealth Group
UnitedHealth Group Incorporated is an American Multinational corporation, multinational for-profit company specializing in health insurance and health care services based in Eden Prairie, Minnesota. Selling insurance products under UnitedHealth Group#UnitedHealthcare, UnitedHealthcare, and health care services under the Optum brand, it is the List of largest companies by revenue, world's seventh-largest company by revenue and the largest health care company by revenue. The company is ranked 8th on the 2024 Fortune Global 500, ''Fortune'' Global 500. UnitedHealth Group had a market capitalization of $460.3 billion as of December 20, 2024. UnitedHealth Group has faced numerous investigations, lawsuits, and fines—including U.S. Securities and Exchange Commission, SEC enforcement for stock option backdating, Medicare (United States), Medicare overbilling, unfair claims practices, mental health treatment denials, and Anti-competitive practices, anticompetitive behavior—highlightin ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] [Amazon] |
