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Lawsuit Alleges United Healthcare Overcharged Medicare For Advantage Plan Customers

The lawsuit, which was unsealed Thursday after a five-year investigation by the Department of Justice, suggests the company may have improperly collected "hundreds of millions" of dollars by claiming patients were sicker than they actually were.

Modern Healthcare: DOJ Joins Medicare Advantage Fraud Lawsuit Against UnitedHealth
The U.S. Justice Department has joined a whistleblower lawsuit claiming that UnitedHealth Group and affiliated health plans have been gaming the Medicare program and fraudulently collecting millions of dollars by claiming patients were sicker than they really were. The lawsuit, initially brought in 2011 and unsealed Thursday after a five year-long investigation by the Justice Department, alleges that Minnetonka, Minn.-based UnitedHealth has inflated its plan members' risk scores since at least 2006 in order to boost payments under Medicare Advantage's risk adjustment program. (Livingston, 2/16)

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