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The U.S. Department of Justice is investigating billing practices at UnitedHealth Group following reports that the company inflated charges to maximize Medicare Advantage reimbursements, The Wall Street Journal reported in an exclusive.
The Journal has previously published reports on insurers' Medicare Advantage billing strategies, including UnitedHealth's efforts to optimize government payments by increasing members' documented sickness scores. According to one report, sickness scores for UnitedHealth patients transitioning from traditional Medicare rose by 55% in their first year in Medicare Advantage, compared to a 30% industry average, leading to higher reimbursements.
[EXTERNAL LINK] - DOJ probes UnitedHealth's Medicare Advantage billing practices: WSJ
The Journal has previously published reports on insurers' Medicare Advantage billing strategies, including UnitedHealth's efforts to optimize government payments by increasing members' documented sickness scores. According to one report, sickness scores for UnitedHealth patients transitioning from traditional Medicare rose by 55% in their first year in Medicare Advantage, compared to a 30% industry average, leading to higher reimbursements.
[EXTERNAL LINK] - DOJ probes UnitedHealth's Medicare Advantage billing practices: WSJ
