Learn from the blame game when AI causes harm

dc.contributor.authorKilloran, Jay
dc.contributor.authorPark, Andrew
dc.date.accessioned2026-06-25T20:15:20Z
dc.date.available2026-06-25T20:15:20Z
dc.date.issued2026
dc.description.abstractIn 2023, families of deceased Medicare Advantage patients filed a class action lawsuit against UnitedHealth Group, alleging that an AI algorithm, nH Predict, systematically denied medically necessary post-acute care. Physicians had approved the care, but nH Predict denied it. The lawsuit alleged that UnitedHealth knew the tool had a 90% error rate, yet continued to deploy it, counting on fewer than 1% of patients appealing. For its part, UnitedHealth has denied wrongdoing, maintaining that nH Predict was never used to make coverage determinations but, rather, served only as a clinical guide and that all coverage decisions were made by human reviewers. The case, which is ongoing, ignited a wider debate: Who was to blame? The engineers? The company? The case managers? Or the AI system?
dc.description.reviewstatusReviewed
dc.description.scholarlevelFaculty
dc.identifier.citationKilloran, J., & Park, A. (2026). Learn from the blame game when AI causes harm. Proceedings of the National Academy of Sciences - PNAS, 123(17), Article e2528408123. https://doi.org/10.1073/pnas.2528408123
dc.identifier.urihttps://doi.org/10.1073/pnas.2528408123
dc.identifier.urihttps://hdl.handle.net/1828/24011
dc.language.isoen
dc.publisherPNAS
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.departmentPeter B. Gustavson School of Business
dc.titleLearn from the blame game when AI causes harm
dc.typeArticle

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