Breaking: UnitedHealth collected billions in questionable Medicare payments

Medicare Advantage insurers collected billions of dollars in dubious payments by diagnosing patients with conditions for which they received no follow-up care.   

Log In  STAT+ UnitedHealth was top insurer collecting billions in questionable Medicare payments, federal watchdog finds By Casey Ross, Tara Bannow, Lizzy Lawrence, and Bob Herman Adobe Medicare Advantage insurers collected billions of dollars in dubious payments from Medicare by using home visits and medical chart reviews to diagnose patients with conditions for which they received no follow-up care, a federal watchdog found.   Insurers led by UnitedHealth Group collectively received an estimated $7.5 billion in payments last year from health risk assessments and related reviews of medical records performed in 2022.   The diagnoses added during those assessments were not found in any of the patients' other medical records that year, suggesting that they were either inaccurate or that patients did not get potentially necessary care for serious conditions, the watchdog found.  READ THE STORY Be the first to know Get instant notifications for the topics and reporters you choose with STAT+ Email Alerts. In Case You Missed It Health Care's Colossus How UnitedHealth harnesses its physician empire to squeeze profits out of patients Health Care's Colossus How UnitedHealth turned a questionable artery-screening program into a gold mine Health Care's Colossus Inside UnitedHealth's strategy to pressure physicians: $10,000 bonuses and a doctor leaderboard ALL STORIES STAT, 1 Exchange Place, Boston, MA ©2024, All Rights Reserved. I no longer wish to receive STAT emails Update Newsletter Preferences   |   Contact Us   |   Advertise With Us