For the behemoth UnitedHealth, a new threat to Medicare profits
2024年10月25日 · UnitedHealth reaped billions from the Medicare program by diagnosing patients with serious chronic illnesses and then delivering no follow-up care.
UnitedHealth wins lawsuit over Medicare Advantage ratings - STAT
2024年11月23日 · A judge ruled the federal government unlawfully factored in a “disputed” phone call to lower UnitedHealth’s Medicare Advantage ratings.
Questionable Medicare payments to UnitedHealth, Humana: …
2024年10月24日 · A federal watchdog found that Medicare Advantage insurers led by UnitedHealth Group collected billions of dollars in dubious payments from Medicare by using home visits and medical chart...
Health Care Inc. Newsletter: UnitedHealth, insurance payouts, etc
2024年10月15日 · A conservative judge’s war on the False Claims Act, Medicare Advantage star ratings, and other updates from our health care newsletter.
Health Care Inc.: Insurer stocks tumble, UnitedHealth investigation …
4 天之前 · This week in healthcare news: A Medicare Advantage settlement, insurer stocks stumble, and lawmakers call to rein in UnitedHealth Group.
UnitedHealth pushed employees to follow an algorithm to cut off …
2023年11月14日 · By pressuring clinical staff to follow an algorithm to cut off patients’ rehab care, UnitedHealth may have violated Medicare regulations.
UnitedHealth sued over use of algorithm in Medicare Advantage …
2023年11月14日 · The lawsuit, filed in the U.S. District Court of Minnesota, accuses UnitedHealth and its subsidiary, NaviHealth, of using the computer algorithm to “systematically deny claims” of Medicare ...
UnitedHealth suit challenges Medicare Advantage star ratings
2024年10月3日 · UnitedHealth Group is suing the Centers for Medicare and Medicaid Services, asking a judge to halt the federal agency from lowering the insurance company’s 2025 Medicare Advantage quality...
UnitedHealth abruptly reversed restrictions on Medicare rehab …
2023年12月28日 · UnitedHealth used secret rules to route rehab care requests from some Medicare Advantage patients for quick denial, internal documents show.
UnitedHealth argues against case alleging wrongful AI care denials …
2024年5月22日 · The class action case alleges UnitedHealth Group's algorithm-based technology prematurely cut off care to Medicare Advantage members.