The U.S. District Court for the Eastern District of California, in an order filed March 31, 2025, issued a mixed ruling on Cigna’s motion to dismiss the PxDx algorithm-focused putative class action (Kisting-Leung, et al. v. Cigna Corporation, et al.),… Read More ›
On February 13, 2025, a federal court dismissed several state law claims against UnitedHealthcare but allowed breach of contract and good faith claims to proceed in a case alleging improper use of AI to deny medical coverage. More specifically, the… Read More ›
Earlier this year on September 20, 2024, Plaintiffs filed their Opposition papers to Cigna Corporation’s and Cigna Health and Life Insurance Company’s (collectively, “Cigna”) motion to dismiss their lawsuit challenging Cigna’s use of an AI algorithm to allegedly automatically deny… Read More ›
On July 15, 2024, UnitedHealth Group (“UHG”) and its co-defendants filed a reply brief supporting their motion to dismiss a class action lawsuit alleging improper use of artificial intelligence to deny Medicare Advantage claims. Filed in the United States District… Read More ›
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 ›
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 ›
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 ›
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 ›
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 ›
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 ›