United Health Group利用算法限制心理健康覆盖面, UnitedHealth Group uses algorithms to restrict mental health coverage, saving money but facing legal challenges in three states.
United Health Group是美国最大的医疗保险公司,它一直在使用算法来限制心理健康的覆盖面,针对在8个月内接受30多次治疗的患者。 UnitedHealth Group, the largest U.S. health insurer, has been using algorithms to limit mental health coverage, targeting patients receiving more than 30 therapy sessions in eight months. 这种做法可以使公司节省多达5 200万美元,在三个州被视为非法。 This practice, which could save the company up to $52 million, has been deemed illegal in three states. 然而,由于监管制度支离破碎,公司可以搬迁其做法,以避免在其他州受到检查。 However, due to the fragmented regulatory system, the company can relocate its practices to avoid scrutiny in other states.