Monday, July 28, 2025

UnitedHealth is Under Federal Investigation

 


While this may not make many providers unhappy, UnitedHealth has announced it is under a federal investigation.  The company also states it is cooperating with authorities.

Apparently the recent news stories that have shown up lately discussing possible investigations caused the business to reach out to the Department of Justice.

It seems that the Wall Street Journal (among others) wrote that a civil fraud investigation was underway.  It was reported the DOJ was investigating how the company records diagnoses that lead to extra payments for its Medicare Advantage plans.

The Associated Press has a nice short article detailing what is going on.  Give it a read for an explanation of the situation.  You can also find information on the Wall Street Journal, however their stories are normally for subscribers only.

There is also a fairly deep and detailed article about UHG on the New York Times website.  I have a subscription to NYT, so I'm not sure if it is generally available to anyone, however if you can get to it I highly recommend reading it as well.  The article discusses how UHG has created a campaign to help quiet their critics since the murder of the CEO of their health insurance division  in New York last year.

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