DOJ probes aspects of UNH's Medicare business as both companies face regulatory and cost pressures in the managed care industry.
2 reports, 2 independent
Updated Jul 20
Gone quiet
- Reports
- 2
- Developments
- 2
- Repetition
- 50%
New informationRepeats or wire copies
AI-generated analysis. Brind wrote this summary from the reports listed below. It can be wrong. Each section says how much you can rely on it, and the sources are linked so you can check.
What happened
DOJ probes aspects of UNH's Medicare business as both companies face regulatory and cost pressures in the managed care industry.
Who's involved
What this event is mainly aboutHow it developed
Newest first. Tap a step to see who reported it.- UnitedHealth Group is running its HouseCalls program for Medicare seniors, which is currently under audit by FTI Consulting.Sub-event
UNH, Humana, and Molina face regulatory scrutiny over business practices and costs.1 source
Keep exploring
The entities involved
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UnitedHealth Group
for-profit health care company
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department
office within an organization
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Humana
American managed health care company
- CMS is actively involved in the operational oversight of Medicare Advantage plans, including determining enrollee health statuses and auditing carriers like Humana and UnitedHealthcare for overcharging.
- Memorial Hermann Health System is ending its Medicare Advantage plan and terminating network agreements with insurers.
Related events
- UnitedHealth Group and Community Health Systems are currently competing for investment opportunities.
- Humana is exiting unprofitable Medicare Advantage markets.
- Medicare plans are facing cuts and discontinuations as carriers like UnitedHealthcare and Humana pull back services.
- UnitedHealth Group is exiting Medicare Advantage plans and shifting its network structure.