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Market
Will UnitedHealth Group face a federal lawsuit over Medicare Advantage practices by end of 2025?
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Resolution / Starting Odds
Yes • 50%
No • 50%
Official court filings or announcements from the Department of Justice
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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Similar markets
Yes • 50%
No • 50%
Humana • 25%
UnitedHealth Group • 25%
Anthem • 25%
Other insurers • 25%
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No • 50%
No significant changes • 25%
Fines imposed on insurers • 25%
Stricter regulations implemented • 25%
Other outcomes • 25%
Yes • 50%
No • 50%
Yes • 50%
No • 50%
