leisure time -WSS

leisure time

author：Wikipedia 2025-09-29 16:14:50 - browse：74

A sign of Humana insurance company on a brick building — business coverage from STAT — Adobe

Medicare Advantage beneficiaries on Tuesday filed a class-action lawsuit alleging that the health insurance giant Humana illegally used an algorithm to prematurely cut off payment for rehabilitation care after patients suffered serious illnesses and injuries.

The suit, filed in U.S. District Court in Western Kentucky, argues Humana’s reliance on the algorithm, known as nH Predict, was part of a fraudulent scheme to reap a windfall by systematically denying claims to desperately ill people.

It is the second suit filed following a STAT investigation that found Medicare Advantage insurers nationwide are using the algorithm to cut off patients’ rehab care, forcing them to forgo treatment or pay thousands of dollars out of pocket. An earlier complaint was filed in November against the algorithm’s maker, NaviHealth, and the company that owns NaviHealth, UnitedHealth Group.

Get unlimited access to award-winning journalism and exclusive events.

Subscribe Log In

Previous article： State Dept. review finds Biden bears some blame for Afghanistan failures
Next article： The cancer stories no one wants to hear

focus

leisure time

WSS

Listen: Biotech layoffs, eye drug drama, & gene therapy milestones

CDC recommends RSV monoclonal antibody for infants

Medicare slashes safety net hospital payments by nearly $1 billion

Judge partially blocks Texas abortion ban for medical emergencies, fatal diagnoses

How I helped Pfizer think through the ethics of Viagra

CDC recommends RSV monoclonal antibody for infants

hotspot

leisure time

Wikipedia

Walensky prepares to leave CDC — and Congress — behind

How I helped Pfizer think through the ethics of Viagra

In age of alternative facts, a scholarly course on calling out crap

Research misconduct: Proposed new rules face resistance

Bright Health sells Medicare Advantage business to Molina

Physicians aren't 'burning out.' They're suffering from moral injury

Cancer drug shortages should be causing more outrage

EU regulator recommends expanding Mounjaro approval to obesity

George Santos makes 1st court appearance after pleading not guilty to 13 counts

Independent physicians launch a new lobbying group

focus

How digital therapeutics firms are pivoting after Pear's bankruptcy

2 officers injured in shooting in Orlando, police say

How digital therapeutics firms are pivoting after Pear's bankruptcy

Copay coupons to count toward deductibles, after Biden court move

A controversial new treatment promises to make little people taller

Listen: Biotech layoffs, eye drug drama, & gene therapy milestones

knowledge

focus

leisure time

hotspot