UnitedHealth says DOJ is investigating company after it denied inquiry
UnitedHealth Group has acknowledged that teh U.S. Department of Justice (DOJ) is investigating the company regarding its Medicare billing practices. This follows reports from The Wall Street Journal about a criminal probe into potential Medicare fraud involving UnitedHealth, with doctors questioned about possible pressure to submit claims that woudl increase payments from the Medicare Advantage program. While earlier denying any federal investigation, UnitedHealth now states it is cooperating fully with the DOJ and has confidence in its practices. The company’s Medicare and retirement division is its largest source of revenue, generating $139 billion in sales last year. UnitedHealth has experienced significant challenges recently,including the fatal shooting of its CEO,the unexpected resignation of his successor,and revising its 2025 financial outlook due to rising medical costs.
UnitedHealth says DOJ is investigating company after it denied inquiry
Insurance giant UnitedHealth Group said Thursday the Department of Justice is investigating the company for its Medicare billing practices.
The Wall Street Journal reported in May that the DOJ was conducting a criminal investigation into the company over potential Medicare fraud. Multiple doctors were interviewed about whether they felt pressure to submit claims for certain medical conditions to increase payments from the Medicare Advantage program to UnitedHealth, according to a July Wall Street Journal report.
However, the company denied it was under federal investigation. At the time, UnitedHealth said it stood “by the integrity of our Medicare Advantage program.”
In a securities filing, UnitedHealth said it “has full confidence in its practices and is committed to working cooperatively with the Department throughout this process.” The company noted it was complying with formal criminal and civil requests from the DOJ.
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UnitedHealth Group’s Medicare and retirement unit is the insurer’s largest revenue driver. It took in $139 billion in sales last year.
The company has faced a turbulent year. Its CEO was shot and killed in New York City late last year, the CEO after him stepped down unexpectedly, citing personal reasons, and the company pulled its 2025 financial outlook due to higher-than-expected medical costs.
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