UnitedHealth Group

UnitedHealth Confirms DOJ Criminal and Civil Investigation for Medicare Advantage Upcoding Fraud

| Importance: 9/10

On July 24, 2025, UnitedHealth Group confirmed in an SEC filing that the Department of Justice has launched both criminal and civil investigations into the company’s Medicare Advantage billing practices, focusing on systematic upcoding fraud that may have generated billions in government …

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UnitedHealthcare CEO Brian Thompson Assassinated in Manhattan, Exposing Public Rage at Health Insurance Industry

| Importance: 10/10

On December 4, 2024, Brian Thompson, CEO of UnitedHealthcare, was shot and killed outside the New York Hilton Midtown in Manhattan. The assassination, allegedly carried out by 26-year-old Luigi Mangione, exposed widespread public anger at the American health insurance industry’s systematic …

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FTC Sues Big Three PBMs for Artificially Inflating Insulin Prices Through Rebate Schemes

| Importance: 9/10

The Federal Trade Commission filed an administrative antitrust complaint against the three largest pharmacy benefit managers—CVS Caremark, Express Scripts (Cigna), and OptumRx (UnitedHealth)—and their affiliated group purchasing organizations, charging them with anticompetitive and unfair practices …

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DOJ Launches Antitrust Investigation of UnitedHealth's Vertical Integration Strategy and Optum Physician Acquisitions

| Importance: 9/10

On February 27, 2024, the Wall Street Journal reported that the Department of Justice launched a major antitrust investigation into UnitedHealth Group, focusing on whether the company’s vertical integration strategy—particularly Optum’s acquisition of physician practices—creates …

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Class Action Lawsuit Alleges UnitedHealth Uses AI with 90% Error Rate to Deny Medicare Advantage Claims, Causing Patient Deaths

| Importance: 9/10

On November 14, 2023, the families of two deceased Medicare Advantage beneficiaries filed a federal class action lawsuit alleging that UnitedHealth Group knowingly uses a faulty artificial intelligence algorithm with a 90% error rate to systematically deny elderly patients coverage for medically …

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Max Baucus Confirmed as Ambassador After Healthcare Industry Staffers Become Lobbyists

| Importance: 8/10

The Senate confirmed former Finance Committee Chairman Max Baucus (D-MT) as U.S. Ambassador to China by a vote of 96-0, ending his 36-year congressional career. Baucus had served as chairman and ranking member of the powerful Senate Finance Committee, where he was the chief architect of the …

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