A Wall Street Journal report on December 31, 2024, alleged that UnitedHealth's doctors were provided with checklists of potential diagnoses for Medicare Advantage patients. The company's software reportedly required doctors to weigh in on each diagnosis before moving to the next patient, even if the diagnoses were irrelevant or incorrect.
This practice is alleged to have systematically bolstered Medicare payments to UnitedHealth, allowing the company to collect billions more from the government. The report highlights concerns about the incentives within the Medicare Advantage program.
Such allegations raise significant questions about the integrity of billing practices and could lead to increased regulatory scrutiny and potential legal challenges for UnitedHealth Group. The focus is on whether these practices led to inflated reimbursements.
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