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UnitedHealth Faces DOJ Criminal Investigation Over Medicare Advantage Practices

The probe, active since mid-2023, coincides with CEO Andrew Witty's resignation and a sharp decline in the company's stock value.

The corporate logo of the UnitedHealth Group appears on the side of one of their office buildings in Santa Ana, California, U.S., April 13, 2020. REUTERS/Mike Blake/File Photo
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Overview

  • The Department of Justice's healthcare fraud unit is investigating UnitedHealth Group for possible Medicare fraud tied to its Medicare Advantage program.
  • UnitedHealth denies being notified of the investigation and defends the integrity of its Medicare Advantage business, calling reports of the probe 'deeply irresponsible.'
  • CEO Andrew Witty resigned on May 13, citing personal reasons, and was replaced by former CEO Stephen Hemsley as the company struggles with multiple crises.
  • UnitedHealth’s stock has plummeted over 50% in the past month, losing more than $300 billion in market value, with shares hitting a five-year low on May 15.
  • The criminal probe adds to ongoing regulatory scrutiny, including civil and antitrust investigations, as well as backlash from prior controversies such as a 2024 cyberattack and the murder of a top executive.