The Department of Justice is investigating UnitedHealth Group for possible Medicare Advantage-related fraud, the Wall Street Journal reported last week. The investigation has been active since at least last summer and is run by the DOJ's criminal health care fraud unit, according to the story.
UHG is also facing DOJ investigations over potential antitrust violations and a civil investigation of its Medicare billing practices, the newspaper noted.
In his confirmation hearing, Centers for Medicare & Medicaid Services Administrator Mehmet Oz pledged to senators that he would crack down on insurers' attempts to inappropriately boost the Medicare Advantage payments they receive.
WSJ subscribers can read the article here.
NCPA