UnitedHealth Group faces DOJ investigation over Medicare Advantage practices, with the insurer cooperating amid leadership changes and cost pressures. The inquiry centers on coding and managed care compliance.

UnitedHealth Group is cooperating with federal criminal and civil investigations into its Medicare Advantage billing practices, amid scrutiny of diagnosis reporting and payments. The insurer faces financial and regulatory challenges influencing the Medicare Advantage market.

UnitedHealth Group faces DOJ investigation over Medicare Advantage fraud, impacting regulatory compliance and financial outlook for one of the largest U.S. health insurers.

UnitedHealth Group responds to DOJ investigations into Medicare Advantage amid broader insurance market changes including AI automation and pharmaceutical supply dynamics.

UnitedHealth Group is under DOJ investigation for Medicare Advantage billing practices. The company cooperates with probes on risk adjustment and compliance in health insurance.

The DOJ is investigating UnitedHealth Group's Medicare billing practices, focusing on diagnostic coding and in-home evaluations that may have led to inflated government payments. This probe highlights compliance and regulatory risks in Medicare Advantage programs.

HCA Healthcare's Q2 2024 earnings demonstrate strategic growth fueled by digital transformation, aging demographics, and expansion into non-acute care. Strong financial metrics and operational discipline highlight market leadership.

AultCare will stop offering individual and small group ACA plans after 2025 due to uncertainty over premium tax credits, continuing Medicare Advantage and group coverage.

CMS introduces WISeR model using AI to expedite Medicare prior authorizations while insurers enhance processes to cut waste and improve care approval speeds.

UnitedHealth Group faces lawsuits and federal probes over AI-driven claims denials in Medicare Advantage, highlighting regulatory risks and the need for ethical plan advisory.