“DOJ: UnitedHealth ignored beneficiary conditions to bilk Medicare,” by Emily Mongan, McKnight’s LTC News

“The DOJ’s complaint, filed Monday, argues that UnitedHealth disregarded information about Medicare Advantage beneficiaries’ conditions, which boosted the federal payments the insurer received. One particular instance described in the filing claims that UnitedHealth funded chart reviews conducted by provider HealthCare Partners in order to increase risk adjustment payments for Medicare beneficiaries.”

LTC Comment (from Stephen A. Moses, President, Center for Long-Term Care Reform):
When the private sector’s profit motive interacts with government’s often unrealistic expectations, problems frequently follow, whether fraud or good business practice the courts decide.

DOJ: UnitedHealth ignored beneficiary conditions to bilk Medicare