NHPredict
An algorithmic system developed by UnitedHealth used to predict the length of time patients require rehabilitation in skilled nursing facilities. The system is designed to assist in decisions regarding the duration of medical insurance coverage for such stays.
Timeline (last 90 days)
A company under UnitedHealth uses an algorithm called NHPredict to determine the length of insurance coverage for patients during their recovery in skilled nursing facilities.
The NHPredict algorithm routinely generates discharge dates earlier than what case managers consider reasonable.
UnitedHealth required case managers to stay within a deviation range from the algorithm's estimated discharge date, with that allowable deviation tightened from 3% to 1%.
When deploying algorithmic decision-making in high-stakes scenarios, incentive structures determine the real-world consequences of algorithmic behavior; NHPredict's tendency to generate earlier discharge dates is consistent with insurers' commercial motivation to control claim costs.
All Facts (4)
A company under UnitedHealth uses an algorithm called NHPredict to determine the length of insurance coverage for patients during their recovery in skilled nursing facilities.
50%UnverifiedThe NHPredict algorithm routinely generates discharge dates earlier than what case managers consider reasonable.
50%UnverifiedUnitedHealth required case managers to stay within a deviation range from the algorithm's estimated discharge date, with that allowable deviation tightened from 3% to 1%.
50%UnverifiedWhen deploying algorithmic decision-making in high-stakes scenarios, incentive structures determine the real-world consequences of algorithmic behavior; NHPredict's tendency to generate earlier discharge dates is consistent with insurers' commercial motivation to control claim costs.
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