UnitedHealth confirms investigation
By HME News Staff
Updated 10:01 AM CDT, Mon July 28, 2025
MINNETONKA, Minn. - UnitedHealth Group says it has proactively reached out to the U.S. Department of Justice after reviewing media reports about investigations into certain aspects of the company’s participation in the Medicare program. In a statement posted to its website, the company says it has now begun complying with formal criminal and civil requests from the department. It says it has full confidence in its practices and is committed to working cooperatively with the department throughout the process. “The company has a long record of responsible conduct and effective compliance. Independent CMS audits confirm that the company’s practices are among the most accurate in the industry, and, following a decade-long civil challenge by the Department to aspects of our Medicare Advantage business, a court-appointed Special Master concluded there was no evidence to support claims of wrongdoing.” UnitedHealth says it has also proactively launched its own initiative to conduct third-party reviews of policies, practices and associated processes and performance metrics for risk assessment coding, managed care practices and pharmacy services. Earlier this year, The Wall Street Journal reported that federal officials were investigating how the company records diagnoses that lead to extra payments for its Medicare Advantage plans. UnitedHealth’s UnitedHealthcare business covers more than 8 million people as the largest provider of these plans.
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