MESSAGE
| DATE | 2025-05-15 |
| FROM | Ruben Safir
|
| SUBJECT | Subject: [Hangout - NYLXS] UnitedHealth Group Is Under Criminal
|
https://www.wsj.com/us-news/unitedhealth-medicare-fraud-investigation-df80667f?mod=hp_lead_pos1
from Rueters
(Reuters) – The U.S. Department of Justice is carrying out a criminal
investigation into UnitedHealth Group for possible Medicare fraud, the
Wall Street Journal reported on Wednesday.
UnitedHealth said it had not been notified by the DOJ about the
“supposed criminal investigation reported,” and the company stood by
“the integrity of our Medicare Advantage program.” The stock fell 8% in
after-hours trade following the report.


The health insurer has been under pressure for months. On Tuesday,
UnitedHealth Group’s CEO, Andrew Witty, stepped down unexpectedly, and
the company simultaneously suspended its 2025 financial forecast due to
rising medical costs. The announcement sent shares plunging nearly 18%
to a four-year low.
Stephen Hemsley, who led the company for more than a decade until 2017,
is taking back the reins following setbacks including the December
murder of Brian Thompson, the CEO of its insurance unit, which
catapulted UnitedHealth into the public consciousness.
The DOJ’s healthcare-fraud unit is overseeing the criminal
investigation, which focuses on the company’s Medicare Advantage
business practices, the Journal reported, citing people familiar with
the matter.
While the exact nature of the potential criminal allegations against
UnitedHealth is unclear, it has been an active probe since at least last
summer, the newspaper said.
A DOJ spokesperson declined to comment to the Journal about the fresh
criminal probe. The department did not immediately respond to Reuters
requests for comments.
Last week, UnitedHealth said in a regular filing that it had been
“involved or is currently involved in various governmental
investigations, audits and reviews,” without disclosing further details.
In February, the Journal reported a civil fraud investigation into
UnitedHealth’s Medicare practices. The company had then said that it was
unaware of any new probe.
In the same month, U.S. Senator Chuck Grassley launched an inquiry into
UnitedHealth’s Medicare billing practices, requesting detailed records
of their compliance program and other related documents. UnitedHealth
shares are down about 40% for the year.
The new investigation follows broader scrutiny into the Medicare
Advantage program.
The DOJ earlier this month filed a lawsuit accusing three of the largest
U.S. health insurers of paying hundreds of millions of dollars in
kickbacks to brokers in exchange for steering patients into the
insurers’ Medicare Advantage plans.
--
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that Brooklyn, like Atlantis, reaches mythological
proportions in the mind of the world - RI Safir 1998
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