Overview
- Senators Ron Wyden and Elizabeth Warren launched an inquiry into UnitedHealth’s Institutional Special Needs Plans to assess whether financial incentives jeopardized nursing home residents’ safety.
- The probe focuses on bonuses tied to maintaining low hospital admission rates without distinguishing medically necessary transfers.
- Wyden and Warren requested internal protocols, training materials and documents on the I-SNP program by September 8.
- UnitedHealth denies the allegations and says its I-SNP partnerships deliver high-quality care while cooperating with this Senate investigation and existing DOJ probes.
- UnitedHealth faces CMS audits and DOJ billing probes, and it plans to cut 600,000 Medicare Advantage members next year to stabilize earnings.