AXIOS March 18, 2025
UnitedHealth Group is bracing for scrutiny from the Trump administration over the way it and other Medicare Advantage insurers bill the government, along with other cost-related topics, an executive at the health company told Axios.
Why it matters: Mehmet Oz’s characterization of the Medicare Advantage system as “upside down” during his Senate confirmation hearing to become Centers for Medicare and Medicaid Services administrator on Friday may have surprised those who assumed he’d enter office as a champion for the program.
Driving the news: Oz pointed to the way the U.S. pays more for Medicare Advantage than traditional Medicare and specifically discussed the practice of “upcoding,” in which insurers categorize patients as sicker in order to get higher payments.
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