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Class Action

Barrows v. Humana

DiscoveryClass claims present

JoAnne Barrows, Susan Hagood, Sharon Merkley, Lorraine Kohl, and Dolly Balani v. Humana, Inc.

Where it stands

Companion case to the UnitedHealth action, alleging Humana used the same naviHealth nH Predict algorithm to terminate skilled nursing coverage over treating clinicians' objections. The court issued a memorandum opinion and order on August 15, 2025 allowing the case to proceed past the motion to dismiss, and a scheduling order issued July 17, 2026. Class certification has not been decided.

Key ruling

August 15, 2025 memorandum opinion and order denying dismissal in relevant part, allowing contract and bad-faith claims over nH Predict-driven denials to proceed.

Note on this record

Which specific counts survived the August 2025 order is not detailed in the sources reviewed; Clarkson Law Firm's role is drawn from filing announcements and should be confirmed.

The record

Court
U.S. District Court for the Western District of Kentucky (Louisville Division)
Case number
3:23-cv-00654
Filed
2023-12-12
Defendants
Humana, Inc.
Plaintiffs
Putative class of Humana Medicare Advantage enrollees denied post-acute care coverage based on nH Predict algorithmic predictions
Technology at issue
nH Predict (naviHealth / Humana)
Relief sought
Damages, restitution, and injunctive relief blocking algorithmic overrides of clinical judgment
Counsel of record
Guilfoyle Law Office, LLP · Clarkson Law Firm, P.C.

Claims pleaded

Sources (3)

This page describes a publicly filed case. This site is not counsel on this matter, nothing here is legal advice, and the allegations described are allegations unless a court has said otherwise.

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