UnitedHealth Group is under federal criminal and civil investigations related to its Medicare business operations. The company has acknowledged the investigations concerning how it records diagnoses affecting payments for its Medicare Advantage plans. UnitedHealth covers over 8 million lives as the leading Medicare Advantage provider and is facing pressure from rising care use and rate cuts. The investigations are focused on potential fraud associated with billing practices and how medical professionals gather diagnoses to maximize reimbursements from the government. The company's recent financial performance has been impacted amid these challenges.
UnitedHealth Group is cooperating with federal investigations into its Medicare business relating to billing practices and the collection of diagnoses for increased payments.
The company emphasizes its long record of responsible conduct and effective compliance with federal regulations, asserting confidence in its business practices.
The investigations are scrutinizing how UnitedHealth records diagnoses to secure extra payments for its Medicare Advantage plans, which cover over 8 million people.
Despite its size and success, UnitedHealthcare has faced challenges recently from rising care use and rate cuts affecting its Medicare Advantage sector.
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