UnitedHealth Lax In Fraud Recovery: NJ Comptroller Report

Law360, New York (July 31, 2013, 8:00 PM EDT) -- UnitedHealth Group Inc.’s New Jersey Medicaid HMO has not recovered enough misspent Medicaid dollars in the state, thereby missing the opportunity to lower state insurance costs by failing to comply with investigation requirements, according to an audit released Wednesday by New Jersey’s comptroller.

New Jersey State Comptroller Matthew Boxer released an audit that said UnitedHealth’s Medicaid HMO, which receives $848 million in state funds annually, has recovered just $800,000 per year in misspent funds on average. This is due to UnitedHealth’s noncompliance with contractually obligated investigation...
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