{"id":2922,"date":"2025-04-07T23:04:38","date_gmt":"2025-04-07T23:04:38","guid":{"rendered":"https:\/\/mailitics.com\/index.php\/2025\/04\/07\/medicare-advantage-study-risk-adjustment-coding-unitedhealth\/"},"modified":"2025-04-07T23:04:38","modified_gmt":"2025-04-07T23:04:38","slug":"medicare-advantage-study-risk-adjustment-coding-unitedhealth","status":"publish","type":"post","link":"https:\/\/mailitics.com\/index.php\/2025\/04\/07\/medicare-advantage-study-risk-adjustment-coding-unitedhealth\/","title":{"rendered":"STAT+: Study shows how UnitedHealth uses coding to rake in extra cash from Medicare Advantage"},"content":{"rendered":"<p>    STAT+: Study shows how UnitedHealth uses coding to rake in extra cash from Medicare Advantage<br \/>\n \t<BR><br \/>\n<BR><\/BR><br \/>\n    <!-- no image --><br \/>\n \t<BR><br \/>\n<BR><\/BR><\/p>\n<div>\n<p>Health insurers in the <a href=\"https:\/\/www.statnews.com\/2025\/02\/26\/medicare-advantage-enrollment-growth-slows-unitedhealthcare-humana-cvs-aetna\/\">private Medicare business<\/a> have a big incentive to diagnose their members with lots of health conditions: The government pays them more money.\u00a0<\/p>\n<p>A new study shows the extent to which the biggest player in that business, <a href=\"https:\/\/www.statnews.com\/unitedhealth-group-investigation-health-care-colossus-series\/\">UnitedHealth Group<\/a>, stands out from the rest for its prowess at raking in extra cash from that program.<\/p>\n<p>Medicare Advantage insurers pulled in an estimated $33 billion in additional payment from the government in 2021 as a result of these extra diagnoses, or codes, that made their members seem sicker, relative to people in the traditional Medicare program.<strong> <\/strong>Almost $14 billion of that, or 42%, went to a single company: UnitedHealth, according to the research, published Monday in the <a href=\"https:\/\/www.acpjournals.org\/doi\/10.7326\/ANNALS-24-01345\">Annals of Internal Medicine<\/a>. Other insurers, like Humana and Aetna, comprised much smaller shares: 19% and 6%, respectively.<\/p>\n<p><a href=\"https:\/\/www.statnews.com\/2025\/04\/07\/medicare-advantage-study-risk-adjustment-coding-unitedhealth\/?utm_campaign=rss\">Continue to STAT+ to read the full story\u2026<\/a><\/p>\n<\/div>\n<p> \t<BR><br \/>\n <BR><\/BR><br \/>\n    Tara Bannow<br \/>\n \t<BR><br \/>\n<BR><\/BR><br \/>\n<a href=\"https:\/\/www.statnews.com\/2025\/04\/07\/medicare-advantage-study-risk-adjustment-coding-unitedhealth\/?utm_campaign=rss\">Go to statnews<\/a><br \/>\n \t<BR><br \/>\n <BR><\/BR><\/p>\n","protected":false},"excerpt":{"rendered":"<p>STAT+: Study shows how UnitedHealth uses coding to rake in extra cash from Medicare Advantage Health insurers in the private Medicare business have a big incentive to diagnose their members with lots of health conditions: The government pays them more money.\u00a0 A new study shows the extent to which the biggest player in that business, [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[58,2157,2297,1428,2298,2213,2266,2151,2144,2152],"tags":[2150],"class_list":["post-2922","post","type-post","status-publish","format-standard","hentry","category-business","category-cms","category-doctors","category-health","category-health-care-workers","category-insurance","category-medicare-advantage","category-policy","category-politics","category-stat","tag-statnews"],"_links":{"self":[{"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/posts\/2922"}],"collection":[{"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/comments?post=2922"}],"version-history":[{"count":0,"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/posts\/2922\/revisions"}],"wp:attachment":[{"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/media?parent=2922"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/categories?post=2922"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/tags?post=2922"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}