Medicare Advantage plans received $4.2 billion in payments for questionable home visits, report says [CBS News]
UnitedHealth Group Incorporated (DE) (UNH)
Last unitedhealth group incorporated (de) earnings: 4/15 05:55 am
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Source: CBS News
The report, issued by the Office of Inspector General for the Department of Health and Human Services, flags concerns with so-called health risk assessments, or HRAs, which are home visits used to diagnose Medicare enrollees for serious health issues. Because senior citizens who suffer from major health issues can trigger higher risk-adjusted payments for Medicare Advantage plans, the agency wanted to determine whether these HRAs are misused, with taxpayers footing the bill. Roughly half of the 66 million seniors enrolled in Medicare are also enrolled in a Medicare Advantage plan, which are offered by private insurers such as UnitedHealthcare and Humana. The analysis said UnitedHealthcare collected $3.7 billion of risk-adjusted payments last year, making it the biggest benefactor of the practice, followed by Humana, with $1.7 billion. Neither UnitedHealthcare nor Humana immediately responded to requests for comment. The report raises concerns about how Medicare Advantage (MA) p
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UNH
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- 10/15/24 - Beat
UNH
Sec Filings
- 11/5/24 - Form 4
- 11/4/24 - Form 10-Q
- 10/15/24 - Form 8-K
- UNH's page on the SEC website