{"id":4288,"date":"2025-06-02T23:02:20","date_gmt":"2025-06-02T23:02:20","guid":{"rendered":"https:\/\/mailitics.com\/index.php\/2025\/06\/02\/unitedhealth-announces-comprehensive-review-of-coding-practices-under-scrutiny-medicare-advantage\/"},"modified":"2025-06-02T23:02:20","modified_gmt":"2025-06-02T23:02:20","slug":"unitedhealth-announces-comprehensive-review-of-coding-practices-under-scrutiny-medicare-advantage","status":"publish","type":"post","link":"https:\/\/mailitics.com\/index.php\/2025\/06\/02\/unitedhealth-announces-comprehensive-review-of-coding-practices-under-scrutiny-medicare-advantage\/","title":{"rendered":"STAT+: UnitedHealth conducting \u2018comprehensive review\u2019 of Medicare practices that are facing federal scrutiny, new CEO says"},"content":{"rendered":"<p>    STAT+: UnitedHealth conducting \u2018comprehensive review\u2019 of Medicare practices that are facing federal scrutiny, new CEO says<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>UnitedHealth Group\u2019s new CEO told investors that the company is reevaluating how it tallies Medicare Advantage patients\u2019 diagnoses for reimbursement purposes, an issue currently <a href=\"https:\/\/www.statnews.com\/2025\/01\/12\/doj-interview-unitedhealth-group-optum-doctors-health-cares-colossus\/\">under investigation<\/a> by the Justice Department.\u00a0<\/p>\n<p>Stephen Hemsley\u2019s remarks during the company\u2019s annual shareholder meeting on Monday signal a noteworthy shift: UnitedHealth is now publicly acknowledging potential issues with how it assesses the health of its Medicare Advantage members. <\/p>\n<p>It\u2019s a stark contrast from Hemsley\u2019s predecessor, Andrew Witty, who <a href=\"https:\/\/www.statnews.com\/2025\/04\/17\/unitedhealth-first-quarter-earnings-2025-cut-profits-3-billion-medicare-patients\/\">pledged in April<\/a> to put the gas on \u201cengagement,\u201d or risk adjustment coding, and blamed the <a href=\"https:\/\/www.statnews.com\/2023\/03\/27\/medicare-advantage-health-insurers-advance-notice\/\">government\u2019s effort<\/a> to crack down on misused codes for causing the company\u2019s struggles. Witty stepped down the following month citing personal reasons, and the company pulled its profit outlook for the year.\u00a0<\/p>\n<p><a href=\"https:\/\/www.statnews.com\/2025\/06\/02\/unitedhealth-announces-comprehensive-review-of-coding-practices-under-scrutiny-medicare-advantage\/?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\/06\/02\/unitedhealth-announces-comprehensive-review-of-coding-practices-under-scrutiny-medicare-advantage\/?utm_campaign=rss\">Go to statnews<\/a><br \/>\n \t<BR><br \/>\n <BR><\/BR><\/p>\n","protected":false},"excerpt":{"rendered":"<p>STAT+: UnitedHealth conducting \u2018comprehensive review\u2019 of Medicare practices that are facing federal scrutiny, new CEO says UnitedHealth Group\u2019s new CEO told investors that the company is reevaluating how it tallies Medicare Advantage patients\u2019 diagnoses for reimbursement purposes, an issue currently under investigation by the Justice Department.\u00a0 Stephen Hemsley\u2019s remarks during the company\u2019s annual shareholder meeting [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2216,58,2288,2213,2266,2314,2151,2152],"tags":[2150],"class_list":["post-4288","post","type-post","status-publish","format-standard","hentry","category-breaking-news","category-business","category-health-insurance","category-insurance","category-medicare-advantage","category-physicians","category-policy","category-stat","tag-statnews"],"_links":{"self":[{"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/posts\/4288"}],"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=4288"}],"version-history":[{"count":0,"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/posts\/4288\/revisions"}],"wp:attachment":[{"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/media?parent=4288"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/categories?post=4288"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/tags?post=4288"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}