UnitedHealthcare can sue over Medicare Advantage overpayment rule

By Erica Teichert  |  April 03, 2017

The CMS will have to defend in court its Affordable Care Act rule that treats Medicare Advantage overpayments like False Claims Act violations after a federal judge refused to toss UnitedHealthcare's lawsuit challenging it.

Justice Department joins Medicare Advantage suit against UnitedHealth

By Modern Healthcare  |  February 18, 2017

The U.S. Justice Department has joined a whistle-blower lawsuit claiming that UnitedHealth Group and affiliated health plans defrauded the Medicare program, collecting millions of dollars by claiming patients were sicker than they really were.

UnitedHealth Group's earnings soar as ACA retreat ramps up

UnitedHealth Group's earnings soar as ACA retreat ramps up

By Bob Herman  |  October 18, 2016

Third-quarter profit shot up at UnitedHealth Group, just as the health insurance and services conglomerate is set to drastically reduce its presence in the Affordable Care Act's individual marketplaces.

Carolinas HealthCare blasts feds' challenge to contracts

Carolinas HealthCare blasts feds' challenge to contracts

By Erica Teichert  |  October 15, 2016

Carolinas HealthCare System is fighting back against a lawsuit by the U.S. Justice Department that alleges the system imposed anti-competitive contract requirements on insurers, saying a federal appeals court has rejected the government's arguments.

Humana, UnitedHealthcare join new value-based prescription drug model

By Virgil Dickson  |  October 03, 2016

Humana, UnitedHealthcare, WellCare, Blue Cross and Blue Shield of Florida and CVS Health are among those participating in a Medicare Part D model that gives insurers financial incentives to offer innovative programs that encourage patients to take their medications.


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