DOJ Investigates Major Insurance Company For Potential Medicare Fraud
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DOJ Investigates Major Insurance Company For Potential Medicare Fraud

The Department of Justice is currently investigating insurance giant UnitedHealth Group for possible Medicare Fraud. While the specific details of the allegations are unclear, the Wall Street Journal reported that the probe has been active since last summer. Here’s what we know: BREAKING: UnitedHealth under investigation for possible Medicare fraud (WSJ) pic.twitter.com/kq4CGx9FYb — Autism Capital (@AutismCapital) May 14, 2025 UNITEDHEALTH UNDER CRIMINAL INVESTIGATION FOR POSSIBLE MEDICARE FRAUD The Justice Department is digging into UnitedHealth Group over possible Medicare fraud, launching a criminal probe that’s been active since last summer. The feds’ healthcare-fraud unit is running point,… https://t.co/mCNaQ0fkLd pic.twitter.com/dfPHogE127 — Mario Nawfal (@MarioNawfal) May 14, 2025 UNITEDHEALTH UNDER CRIMINAL INVESTIGATION FOR POSSIBLE MEDICARE FRAUD The Justice Department is digging into UnitedHealth Group over possible Medicare fraud, launching a criminal probe that’s been active since last summer. The feds’ healthcare-fraud unit is running point, signaling serious heat on one of the nation’s biggest insurers. This comes as UnitedHealth’s stock already stumbles from a CEO shake-up and shaky financials. With Medicare fraud now on the table, pressure is mounting fast. Washington’s got its sights on the insurer’s books—and if charges follow, this could ripple far beyond Wall Street. Reuters has more on the investigation: In February, the Journal reported a civil fraud investigation into UnitedHealth’s Medicare practices. The company had then said that it was unaware of any new probe. In the same month, U.S. Senator Chuck Grassley launched an inquiry into UnitedHealth’s Medicare billing practices, requesting detailed records of their compliance programme and other related documents. A DOJ spokesperson declined to comment to the Journal about the fresh criminal probe. The UnitedHealth Group and the DOJ did not immediately respond to Reuters requests for comments. The new investigation follows a broader scrutiny into the Medicare Advantage program. The DOJ, earlier this month, had filed a lawsuit accusing three of the largest U.S. health insurers of paying hundreds of millions of dollars in kickbacks to brokers in exchange for steering patients into the insurers’ Medicare Advantage plans. This news comes just one day after UnitedHealth CEO Andrew Witty suddenly and unexpectedly resigned. CNBC noted: On Tuesday, UnitedHealth Group’s CEO, Andrew Witty, stepped down unexpectedly, and the company simultaneously suspended its 2025 financial forecast due to rising medical costs. The announcement sent shares plunging nearly 18% to a four-year low. While the exact nature of the criminal allegations is unclear, the Journal said, citing people familiar with the matter, the probe by the healthcare-fraud unit of the DOJ’s criminal division has been active since at least last summer.