Industry Resources | March 29, 2017
United States Of America, Ex. Rel Benjamin Poehling v. UnitedHealthcare
On February 14, 2017, the Federal Department of Justice, along with a whistleblower Benjamin Poehling, filed this "qui tam" complaint regarding a case filed in 2011 against Medicare Advantage plans operated by UnitedHealth Group. The complaint alleges that the plans inflated enrollee health risk scores in order to receive larger per-person payments from Medicare . . .