leisure time -WSS

leisure time

author：fashion 2025-09-27 09:58:13 - browse：66

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： Dobbs anniversary: the lost opportunity of abortion as health care
Next article： At ASCO, AstraZeneca reports strong data for breast cancer drug

WSS

BMI, flaws aside, is found to be useful estimate of body fat in youth

Ultragenyx gene therapy for rare liver ailment succeeds in late

Obamacare plans could cover weight loss drugs

ASCO: AstraZeneca's hat trick, and palliative care's spotlight

For one rare type of lung cancer, Pfizer pill reduces progression by 81%

Obamacare plans could cover weight loss drugs

hotspot

leisure time

explore

Guidelines to prevent youth baseball injuries need more muscle

Intellia reports positive results for its CRISPR

How one medical school became remarkably diverse

ASCO 2024: 'Reassuring' Corbus data on ADC bladder cancer drug

Bright Health sells Medicare Advantage business to Molina

Opioid cravings were reduced by anti

New Eli Lilly Alzheimer’s data poses Medicare coverage conundrum

Measles policy set amid Florida outbreak alarms vaccine proponents

Walensky prepares to leave CDC — and Congress — behind

With trial win, GSK could get blood cancer drug back on market

hotspot

Measles policy set amid Florida outbreak alarms vaccine proponents

For one rare type of lung cancer, Pfizer pill reduces progression by 81%

At ASCO, pharma leaders speak of advances in 'smart bomb' drugs

AbbVie CEO Gonzalez to step down after a decade fiercely defending Humira

Cord blood banking comes at a high cost to babies

Ionis drug prevents swelling attacks due to hereditary angioedema

hotspot

hotspot

hotspot

focus