联合健康(UNH.US)涉嫌“骗保”：美国参议院报告批其“操纵诊断”套取联邦拨款

Core Viewpoint - The U.S. Senate committee has found that UnitedHealth (UNH.US) employed "aggressive strategies" to collect diagnostic information from its Medicare Advantage members to increase payments, turning risk adjustment into a business, which was not its original intent [1] Group 1: Investigation Findings - A new report based on a review of 50,000 pages of records submitted by UnitedHealth to the U.S. Senate Judiciary Committee revealed that the company systematically added diagnostic information to patient records to secure billions of dollars in additional federal funding [1] - Some of the added diagnoses were questioned for their accuracy, and many patients appeared not to have received treatment for these newly added conditions [1] Group 2: Ongoing Investigations - UnitedHealth is facing multiple investigations regarding its business practices, including civil and criminal investigations disclosed by the Department of Justice in July [1] Group 3: Company Response - A spokesperson for UnitedHealth disagreed with the Senate report's characterization, stating that the company complies with Medicare requirements and has performed well in diagnostic audits [1] - The spokesperson emphasized the company's commitment to providing lower-cost, more convenient, and higher-quality healthcare services to its Medicare Advantage population [1]