On June 12, U.S. District Judge Thomas Durkin in Chicago ruled a whistle-blower lawsuit, filed by Medicare Advantage beneficiary Jeffrey Gray, did not sufficiently allege UnitedHealth engaged in a fraudulent scheme. The whistle-blower lawsuit claimed UnitedHealth schemed to inflate its monthly payments from the federal government to administer Medicare Advantage benefits.
The judge, however, said the lawsuit failed to show UnitedHealth’s alleged actions were material enough that had the government known about them, it would have affected UnitedHealth’s payments.
More articles on payer issues:
DOJ abandons most of lawsuit accusing UnitedHealth of Medicare fraud
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Judge: DOJ’s suit accusing UnitedHealth of $1B Medicare fraud can proceed
