The use of artificial intelligence (AI) in health insurance has raised concerns due to cases of algorithms leading to inappropriate denial of care, sparking scrutiny and legal actions. Medicare Advantage plans are specifically criticized for using AI to limit postacute care, prompting congressional investigations and lawsuits against major insurers like UnitedHealthcare, Humana, and Cigna. The necessity for transparency, human supervision, and ethical standards in AI healthcare applications is emphasized.

AI Challenges in Health Insurance