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UnitedHealthcare 'Pushing' Boundaries of Medicare Fraud, Republican Says


Published on 2025-03-25 07:21:09 - Newsweek
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    • Rep. Greg Murphy (NC-R) discussed Republicans' efforts to reduce Medicare and Medicaid fraud on Fox Business Monda.

The article discusses allegations by Republican Senator Bill Cassidy that UnitedHealth Group, through its subsidiary UnitedHealthcare, is engaging in practices that could be considered Medicare fraud. Cassidy claims that UnitedHealthcare is manipulating Medicare Advantage risk adjustment data to inflate payments, a practice he describes as "pushing the boundaries" of legality. This involves coding patient conditions in a way that maximizes reimbursements from Medicare, potentially overcharging the government. The accusations come amidst broader scrutiny of Medicare Advantage plans, which are privatized versions of Medicare, for similar issues. UnitedHealth has responded by stating they adhere to all relevant laws and regulations, emphasizing their commitment to compliance and integrity in their operations. The issue has sparked a debate on the oversight and regulation of Medicare Advantage plans, with implications for how healthcare costs are managed and how taxpayer money is spent.

Read the Full Newsweek Article at:
[ [ https://www.msn.com/en-us/money/companies/unitedhealthcare-pushing-boundaries-of-medicare-fraud-republican-says/ar-AA1Bz80N ] ]