A Special Master has recommended granting UnitedHealth Group Inc’s
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motion for summary judgment in a False Claims Act (FCA) case, concluding that the government lacks evidence to support its allegations.
In February, the Justice Department launched a civil fraud investigation into UnitedHealth’s Medicare billing practices.
The probe began in recent months and will examine UnitedHealth’s Medicare Advantage plans and physician groups following reports that the company received billions in federal payments for questionable diagnoses.
Soon after Sen. Chuck Grassley (R-Iowa), chairman of the Senate Judiciary Committee and a former chairman of the Senate Finance Committee, sent a letter to UnitedHealth’s CEO Andrew Witty demanding detailed information on the company’s Medicare billing practices.
James Swoben filed the “whistleblower” lawsuit. In 2017, the United States intervened and filed a lawsuit against UnitedHealth, alleging the company obtained inflated risk adjustment payments based on untruthful and inaccurate information about the health status of beneficiaries enrolled in its largest Medicare Advantage Plan, UHC of California.
The recommendation also advises denying the government’s motion for partial summary adjudication.
On August 6, 2024, UnitedHealth filed a motion for summary judgment while the U.S. government sought partial...
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