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DOJ Investigates Medicare Billing Practices at UnitedHealth

53 点作者 Jimmc4143 个月前

4 条评论

Jimmc4143 个月前
UnitedHealth allegedly received $8.7 billion in extra federal payments in 2021 just for diagnoses that were never actually treated.<p>Through their &quot;HouseCalls&quot; unit, each nurse visit triggered an average of $2,735 in additional government payments; just for documenting conditions, not treating them.<p>UnitedHealth trained doctors to document revenue-generating diagnoses<p>Used software to suggest profitable diagnoses<p>Paid bonuses to providers who followed these suggestions<p>Added diagnoses without lab tests or confirmation<p>The same patients suddenly had many more lucrative diagnoses after joining UnitedHealth&#x27;s Medicare Advantage plans versus before.<p>When confronted, rather than addressing the specific allegations about billing practices, UnitedHealth called the WSJs reporting &quot;outrageous and false&quot; and claimed it was part of a &quot;campaign against Medicare Advantage.&quot;<p>The company seemingly built entire systems in a deliberate, systematic effort to maximize government payments rather than isolated incidents or honest mistakes.
redeux3 个月前
Actual fraud coming from a private company taking advantage of the US Government, which is how almost all fraud happens - not from the “deep state”
评论 #43135516 未加载
impish92083 个月前
Earlier: <a href="https:&#x2F;&#x2F;news.ycombinator.com&#x2F;item?id=43127111">https:&#x2F;&#x2F;news.ycombinator.com&#x2F;item?id=43127111</a>
Jimmc4143 个月前
<a href="https:&#x2F;&#x2F;archive.is&#x2F;mGLAY" rel="nofollow">https:&#x2F;&#x2F;archive.is&#x2F;mGLAY</a>