UnitedHealth Group confirmed that it is currently under investigation by the Department of Justice regarding its Medicare Advantage business.
The company has initiated cooperation with both criminal and civil requests from federal investigators, emphasizing its commitment to compliance.
The big picture: The investigation centers on the company’s billing practices related to how it records diagnoses for Medicare Advantage plans, impacting over 8 million individuals covered by UnitedHealthcare. • Reports suggest that federal officials are focusing on how UnitedHealth utilized healthcare providers to collect diagnoses that led to higher payments in the Medicare Advantage program. • Following media reports on the investigations, UnitedHealth Group proactively contacted the Justice Depart