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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DoJ Is Investigating UnitedHealth Group For Medicare Fraud
The DoJ is investigating UnitedHealth Group for possible criminal Medicare fraud, sources told the Wall Street Journal. The healthcare-fraud unit of the Justice Department’s criminal division is overseeing the investigation, the people said, and it has been an active probe since at least last summer. While the exact nature of the potential criminal allegations against UnitedHealth is unclear, the people said the federal investigation is focusing…
UnitedHealth Plummets, First Solar Rises, Super Micro Surges - Stock Movers
UnitedHealth Group Inc. (UNH) plummeted as much as 18% following a report that the insurer was under criminal investigation for possible Medicare fraud, adding to an already tumultuous week. The Justice Department has had a probe into the company’s Medicare Advantage business since at least last summer, the Wall Street Journal reported, citing unidentified people familiar with the matter. UnitedHealth shares dropped every day for the last eight …
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Catholic Health System to pay $3.3M over alleged Medicare violations
BUFFALO, N.Y. (WIVB) -- Catholic Health System, Inc. will pay nearly $3.3 million to resolve allegations that the non-profit healthcare system knowingly submitted or caused to be submitted false claims to the Medicare program, the U.S. Attorney's Office said. The settlement comes after allegations of claims that violated the Physician Self-Referral Law, known as the Stark Law. The U.S. Attorney's Office says that law prevents hospitals from obta…
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