Healthcare DIVE January 12, 2026
Staffers for Sen. Chuck Grassley, R-Iowa, dove into 50,000 pages of documentation from UnitedHealth for the new report, which accuses the company of maintaining a workforce dedicated to upcoding.
UnitedHealth is aggressively gaming Medicare Advantage to inflate its reimbursement from the federal government, according to a Senate committee investigation.
That includes by sending nurses to enrollees’ homes to conduct health risk assessments, employing coders to review medical records and incentivizing external providers to assess for certain conditions — all activities that allow UnitedHealth to capture more diagnoses and maximize risk scores, the report released Monday found.
The findings, based on a review of 50,000 records that UnitedHealth shared with the Senate Judiciary Committee, builds on past research and media reports...
Today's Sponsors
Today's Sponsor