naviHealth nH Predict (UnitedHealth)

entry · p2026-09-07-007 · validated

the insurer denied 12.6 percent of such requests: in other words, its 2022 denial rate for skilled nursing facilities

tech: nh-predict
passes the definition as: a length-of-stay predictor fit to the recovery records of matched prior patients
from: 2021
region: US
domain: health
side: loss
people: 272,687 prior authorisation requests for skilled nursing admission (proxy for people) (2022)
effect: 12.6 percent (2022) — share of skilled nursing facility admission requests denied at first instance, up from 1.4% in 2019
reversible: no
who holds the switch: owner:UnitedHealth Group
attribution: named
source kind: primary
the statistic: US Senate PSI majority staff report, 17 October 2024: UnitedHealthcare received 272,687 prior authorisation requests for skilled nursing facility admission in 2022 and denied 12.6% of them, nine times the 1.4% rate of 2019 — 2022 being the first full year naviHealth, the company behind nH Predict, managed them. Inpatient rehabilitation: 46,395 requests, 71.4% denied.
source: https://www.hsgac.senate.gov/wp-content/uploads/2024.10.17-PSI-Majority-Staff-Report-on-Medicare-Advantage.pdf
proposed by: researcher (opus), brief 2026-09-06 second harvest, bot-wall re-run
received: 2026-09-06T10:23:57-04:00
harvest report: impacts/harvest/2026-09-07-botwall-rerun.md

Rulings, in order

2026-09-06T10:24:14-04:00 · validatorpass — quote found on the fetched page (exact match; HTTP 200 application/pdf)
2026-09-06T10:24:14-04:00 · sessionseverity — post-acute care denied at first instance by a length-of-stay predictor; count derived as 12.6% of 272,687 requests = 34,359 denials (requests ≈ people, a proxy)

The proposal as it arrived (JSON)

{
 "id": "p2026-09-07-007",
 "received": "2026-09-06T10:23:57-04:00",
 "proposer": "researcher (opus), brief 2026-09-06 second harvest, bot-wall re-run",
 "kind": "entry",
 "sha": "5be3257e1517d8f5",
 "data": {
  "kind": "entry",
  "tech": "nh-predict",
  "tech_name": "naviHealth nH Predict (UnitedHealth)",
  "definition": "a length-of-stay predictor fit to the recovery records of matched prior patients",
  "from": "2021",
  "region": "US",
  "domain": "health",
  "side": "loss",
  "people": {
   "n": 272687,
   "unit": "prior authorisation requests for skilled nursing admission (proxy for people)",
   "date": "2022"
  },
  "effect": {
   "n": 12.6,
   "unit": "percent",
   "date": "2022",
   "what": "share of skilled nursing facility admission requests denied at first instance, up from 1.4% in 2019"
  },
  "reversible": false,
  "switch": "owner:UnitedHealth Group",
  "statistic": "US Senate PSI majority staff report, 17 October 2024: UnitedHealthcare received 272,687 prior authorisation requests for skilled nursing facility admission in 2022 and denied 12.6% of them, nine times the 1.4% rate of 2019 — 2022 being the first full year naviHealth, the company behind nH Predict, managed them. Inpatient rehabilitation: 46,395 requests, 71.4% denied.",
  "source": "https://www.hsgac.senate.gov/wp-content/uploads/2024.10.17-PSI-Majority-Staff-Report-on-Medicare-Advantage.pdf",
  "quote": "the insurer denied 12.6 percent of such requests: in other words, its 2022 denial rate for skilled nursing facilities",
  "attribution": "named",
  "source_kind": "primary"
 },
 "from_file": "impacts/harvest/2026-09-07-botwall-rerun.md"
}