Reply Brief Seeks to Bolster Humana’s Defense in Medicare AI Lawsuit
On July 18, 2024, Humana, Inc. (“Humana”) filed a reply brief defending its motion to dismiss a class action lawsuit over its use of artificial intelligence to make Medicare coverage determinations. In the action the plaintiffs are alleging that Humana... Read More ›
HHS Reshapes IT Leadership: Major Reorganization Emphasizes AI, Data, and Cybersecurity
On July 25, 2024, the U.S. Department of Health and Human Services (HHS) announced a reorganization that emphasizes artificial intelligence, cybersecurity, data, and technology. Specifically, this involves moving technology and data policy and strategy functions from the Office of the Assistant Secretary... Read More ›
Cigna Seeks Dismissal of Lawsuit Over Automated Claims Denial System
On August 23, 2024, The Cigna Group and Cigna Health and Life Insurance Company (“Cigna”) filed a motion to dismiss a lawsuit alleging the denial of coverage resulting from its use of an automated system. More specifically, the lawsuit, filed... Read More ›
Humana Seeks Dismissal of Medicare Advantage Lawsuit Alleging AI Misuse in Coverage Decisions
On June 6, 2024, Humana Inc. (“Humana”), filed a motion to dismiss the Plaintiffs claims in the matter alleging the misuse of an AI model in post-acute care determinations under Medicare Advantage brought in the U.S. District Court for the... Read More ›
UnitedHealth Group Seeks Dismissal of Medicare Advantage Lawsuit Over AI Coverage Denials
On May 20, 2024, UnitedHealth Group, Inc. (UHG), and its Co-Defendant subsidiaries filed a motion to dismiss the Plaintiffs’ Amended Complaint in the federal case alleging denial of post-acute care under Medicare Advantage due to decisions made by an AI... Read More ›
Amended Complaint Alleges Humana’s Use of AI Model Violates Laws, Harms Elderly Patients
On April 22, 2024, Plaintiffs who had filed a lawsuit against Humana, Inc. (Humana) alleging denial of post-acute care coverage by the “illegal and undisclosed deployment of artificial intelligence (AI) in place of real doctors” under Medicare Advantage plans, filed... Read More ›
How Artificial Intelligence relates to the Causes of Action in the UnitedHealth Group Medicare Advantage AI-based coverage denial Matter
A recent class action complaint filed against UnitedHealth Group, Inc., and its subsidiaries in the U.S. District Court of Minnesota alleges that the company is improperly using an artificial intelligence system called the nH Predict Model to wrongfully deny Medicare... Read More ›
Amended Complaint filed in Federal case against UnitedHealth Group alleging denial of care due to decisions made by AI
On April 5, 2024, the enrollees in Medicare Advantage Plans that had filed a class action complaint against UnitedHealth Group, Inc., United Healthcare, Inc., and naviHealth, Inc., alleging denial of care due to coverage determinations made by artificial intelligence filed... Read More ›
2024-2030 Federal Health IT Strategic Plan Draft released
In March 2024, the Office of the National Coordinator for Health Information Technology (ONC) under the U.S. Department of Health and Human Services (HHS) released a draft of its 2024-2030 Federal Health IT Strategic Plan (draft plan) for public... Read More ›
White House Office of Management and Budget releases Policy Memorandum on use of AI in Federal Agencies
On March 28, 2024, the White House Office of Management and Budget (OMB) released a memorandum concerning AI, with the specific subject matter of “Advancing Governance, Innovation, and Risk Management for Agency Use of Artificial Intelligence.” The scope of the... Read More ›
The World Health Organization Issues Guidance on Large Multi-Modal AI Models
On January 18, 2024, the World Health Organization (WHO) published, “Ethics and governance of artificial intelligence for health Guidance on large multi-modal models,” which follows an earlier 2021 guidance on AI and addresses regulatory issues surrounding generative AI, specifically large... Read More ›
HHS Health Data, Technology, and Interoperability Final Rule furthers Agency’s effort to build the Digital Foundation for U.S. Health Care
After releasing a proposed rule in April 2023, the Office of the National Coordinator for Health Information Technology (ONC) issued the final Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) Rule on December 13,... Read More ›