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UnitedHealth under criminal probe for possible Medicare fraud, WSJ reports

  • In May 2025, the U.S. Department of Justice initiated a probe into UnitedHealth Group concerning allegations related to Medicare fraud, as reported by the Wall Street Journal.
  • The probe follows increased regulatory scrutiny and a prior civil fraud investigation into Medicare Advantage practices, with the DOJ's criminal healthcare fraud division involved since at least last summer.
  • This investigation coincides with the unexpected departure of CEO Andrew Witty, a sharp decline in UnitedHealth's stock price, and the suspension of the company’s 2025 financial outlook amid rising medical costs.
  • Shares dropped almost 18% to reach a four-year low, as a shareholder lawsuit alleges the company failed to disclose the possible consequences of former CEO Brian Thompson’s murder in December 2024, though the precise details of the related criminal accusations remain uncertain.
  • The probe and ongoing scrutiny suggest heightened challenges for UnitedHealth and potential wider implications for Medicare Advantage insurers in the U.S. Healthcare market.
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Forbes broke the news in United States on Wednesday, May 14, 2025.
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