Software developers working for a health insurance company

 

You are the project manager for a team of software developers working for a health insurance company. Your team has been asked to develop a new algorithm for insurance claim reviews that will utilize a chatbot function to produce written explanations for any denial of the claim, similar to what a doctor would write under similar circumstances. The design specs include the request to simulate human expression so as to reduce the likelihood of future regulatory oversight of the company’s claims decision practices.
For a fuller picture of the use of algorithms in health insurance claims, read: https://www.propublica.org/article/cigna-pxdx-medical-health-insurance-rejection-claims
Links to an external site.

Using the ethical framework(s) assigned below discuss:
● What concerns and whose concerns are prioritized for your framework?
● What is your proposed action to take regarding the new job?
● What are the competing values that might need to be resolved to determine your response?
● Is there a clear “right” answer for what you should do given your assigned framework?
For your ethical framework, here are the assignments:
● Use Social Contract ethics

Write up your answers in a brief essay, 500-750 words is fine. Grading is based on the clarity of your argument and demonstrated understanding of the main tenets of the assigned framework in your answer. Word files should be submitted to Canvas only!

 

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