DOJ Investigates UnitedHealth Group Over Medicare Advantage Practices

UnitedHealth Group is currently under investigation by the U.S. Department of Justice for possible criminal fraud related to its Medicare Advantage program. The insurer has confirmed its cooperation with the DOJ and is conducting independent reviews of its coding practices, managed care, and pharmacy services. This inquiry adds to the company's recent operational challenges, including leadership changes and financial strains related to Medicare Advantage costs.

The DOJ's investigation focuses on UnitedHealth's use of health status codes and overall compliance within its Medicare Advantage offerings. The company's leadership turmoil, including a CEO assassination and abrupt executive departures, coincides with a significant stock decline. UnitedHealth remains engaged with regulators while reassessing its strategies in Medicare Advantage amid ongoing cost pressures.