MedPage Today January 16, 2026
‘UHG appears to be gaming the system,’ says Sen. Chuck Grassley
UnitedHealth Group (UHG) is artificially inflating risk adjustment scores of patients in its Medicare Advantage plans in order to get higher reimbursement, according to a report from Sen. Chuck Grassley (R-Iowa) and his staff, although the plan is disputing that claim.
“My investigation has shown UnitedHealth Group appears to be gaming the system and abusing the risk adjustment process to turn a steep profit,” Grassley said in a press release Monday, the day the report was issued. “Taxpayers and patients deserve accurate, clear-cut, and fair risk adjustment processes.”
The report is based on a review of 50,000 pages of documents that UHG provided to Grassley and his staff —...
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