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The Guardian - US
The Guardian - US
World
Melody Schreiber

New AI tool counters health insurance denials decided by automated algorithms

Insurance Andrew Witty Humana Medicare UnitedHealth Group Lawsuit Cigna KFF Medicare Advantage UnitedHealth
a building
A general view outside the United Healthcare corporate headquarters on 4 December 2024 in Minnetonka, Minnesota. Photograph: Stephen Maturen/Getty Images

Insurance coverage denials have risen in recent years in the US, driven in part by automated algorithms powered by AI – and some recently launched artificial intelligence tools may fight back by generating automatic appeals.

But to see more lasting change, health experts say that the health insurance system needs greater reform to control high prices and ensure coverage.

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