Unit­edHealth Group last week de­feated a U.S. Jus­tice Depart­ment law­suit ac­cus­ing the in­surer of fraud­u­lently col­lect­ing mil­lions of dol­lars for its Medi­care Ad­van­tage plans.

Modern Healthcare - - LATE NEWS -

The fed­eral gov­ern­ment al­leged Unit­edHealth in­flated its plan mem­bers’ risk scores to se­cure mil­lions in higher pay­ments from the CMS, but a fed­eral judge in Cal­i­for­nia called the Jus­tice Depart­ment’s claims too vague. It’s an early blow against the Jus­tice Depart­ment’s new­est at­tempt to crack down on po­ten­tial fraud in Medi­care Ad­van­tage plans. If the feds can beef up their claims, the case can be re­sub­mit­ted.

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