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What will be the outcome of the government investigation into UnitedHealth's Medicare practices by end of 2025?
3
Resolution / Starting Odds
Fines imposed • 25%
Policy changes recommended • 25%
No action taken • 25%
Other • 25%
Reports or conclusions published by the Department of Health and Human Services (HHS) or other relevant government bodies
Story
WSJ Investigation Reveals UnitedHealth Group Extracted $50 Billion from Medicare Advantage (2019-2021)
Jan 2, 2025, 04:16 PM
A yearlong investigation by The Wall Street Journal has revealed that major insurers, including UnitedHealth Group, extracted billions in additional payments from the Medicare Advantage system. The investigation found that from 2019 to 2021, insurers diagnosed patients with conditions that led to an extra $50 billion in payments, despite no actual treatment for these diseases. The report highlights practices such as providing doctors with checklists of potential diagnoses and offering bonuses for completing them, raising concerns about the integrity of the Medicare Advantage program and its impact on the sickest Americans.
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Other outcomes • 25%
PHA Healthcare fined • 25%
PHA Healthcare cleared of wrongdoing • 25%
PHA Healthcare required to implement changes • 25%
No significant changes • 25%
Other outcomes • 25%
Stricter regulations implemented • 25%
Fines imposed on insurers • 25%
Suspect deceased • 25%
Case unsolved • 25%
Suspect acquitted • 25%
Suspect convicted • 25%
Case remains unsolved • 25%
Suspect identified but not arrested • 25%
Suspect arrested and charged • 25%
Case closed without suspect • 25%
Other outcome • 25%
Abandoned • 25%
Delayed beyond 2025 • 25%
Completed • 25%
Other • 25%
Rescheduled • 25%
Canceled • 25%
Combined with another event • 25%
Other changes • 25%
No major changes • 25%
Leadership restructuring • 25%
Increased security measures • 25%
Anthem • 25%
Other insurers • 25%
Humana • 25%
UnitedHealth Group • 25%
No • 50%
Yes • 50%
