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UnitedHealth Faces Scrutiny Over Alleged Nursing Home Payment Scheme

The Guardian reports secret bonuses to reduce hospital transfers, raising ethical concerns and financial fallout for the health insurer.

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Overview

  • UnitedHealth Group allegedly paid nursing homes to limit hospital transfers, a cost-cutting measure that reportedly endangered patient safety, according to The Guardian's investigation.
  • The U.S. Department of Justice reviewed these allegations and declined to pursue them, citing significant factual inaccuracies after a multi-year investigation.
  • UnitedHealth’s stock fell over 6% following the report, adding to a year-to-date decline of 36%, with HSBC downgrading its rating and cutting the price target to $270.
  • The Guardian's findings were based on thousands of documents, whistleblower declarations, and interviews with over 20 current and former employees, highlighting systemic issues within Medicare Advantage operations.
  • The allegations compound existing challenges for UnitedHealth, including a DOJ criminal investigation into Medicare fraud, CEO Andrew Witty's recent resignation, and financial pressures from rising medical costs.