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UnitedHealth Group, Inc. – Medicare Advantage Risk Adjustment Fraud (Case Intervention)

Posted  February 26, 2017

Constantine Cannon represents the whistleblower in one of the largest Medicare Advantage risk adjustment cases in history.  Our client, Benjamin Poehling, alleges that UHG, the nation’s largest health insurer, together with its related Medicare Advantage Organizations, knowingly inflated Medicare Advantage risk scores by engaging in “one-way” chart reviews, even after he expressed concern about this practice to fellow executives.  The United States filed a complaint in intervention in May, 2017, and the case continues to be actively litigated, with trial scheduled in 2023. See: Government Complaint in Intervention; Poehling Second Amended Complaint; Constantine Cannon Press Release.

Tagged in: FCA Federal, Healthcare Fraud, Managed Care, Risk Adjustment Fraud, Whistleblower Case, Whistleblower Rewards,