United States of America v. United Health Group, Inc. et al

  1. March 29, 2019

    Overturned Rule Blocks Quick Win For DOJ In FCA Case

    A California federal judge refused to hand a quick victory to the U.S. Department of Justice in a whistleblower suit against UnitedHealth Group Inc. over alleged overpayments on medical claims, citing a separate D.C. federal court decision that unwound a rule guiding those payments.

  2. December 14, 2018

    The Biggest Health Care Cases Of 2018

    Health care providers, insurers and consumers cheered and jeered remarkable rulings this year in cases involving the Affordable Care Act, the False Claims Act and huge sums of Medicare Advantage reimbursement. Here, Law360 recaps the year's biggest litigation developments.

  3. October 30, 2018

    Insurers Sweat Gov't U-Turn On Medicare Advantage Audits

    The federal government has done a dramatic about-face on how much money it can recover through Medicare Advantage audits, a move that could force health insurers to pay back huge sums of money and halt industry momentum in False Claims Act litigation.

  4. September 12, 2018

    FCA Thunderbolt Lurks In UnitedHealth Overpayment Ruling

    UnitedHealth Group Inc.'s recent defeat of a Medicare Advantage overpayment rule threatens to send shock waves through the U.S. Department of Justice's already tottering campaign to police Medicare Advantage reimbursement using the False Claims Act.

  5. February 26, 2018

    DOJ Ditches Much Of UnitedHealth FCA Suit

    The U.S. Department of Justice on Monday abandoned much of a False Claims Act suit targeting UnitedHealth Group Inc. over Medicare Advantage billing practices, marking its second loss in a new area of FCA litigation.

  6. February 16, 2018

    New FCA Ruling Puts Medicare Advantage Plans On Alert

    A new False Claims Act ruling involving UnitedHealth Group Inc. is a clear warning that Medicare Advantage insurers may face massive penalties for ignoring questionable patient diagnoses and failing to return related government payments.

  7. February 12, 2018

    UnitedHealth Can't End DOJ Suit In Big FCA Battle

    A California federal judge on Monday preserved a U.S. Department of Justice lawsuit accusing UnitedHealth Group Inc. of exaggerating patient illnesses in Medicare Advantage, handing the government a crucial win in a new realm of False Claims Act litigation.

  8. January 29, 2018

    UnitedHealth Nears Nixing FCA Claims, But DOJ Row Not Over

    A California federal judge on Monday tentatively ruled to give the U.S. Department of Justice another shot at amending a whistleblower False Claims Act suit against UnitedHealth Group Inc. alleging Medicare Advantage fraud, although the insurer argued the claims should be tossed for good. 

  9. January 17, 2018

    DOJ Trying To 'Eviscerate' Escobar, UnitedHealth Says

    The U.S. Department of Justice is seeking to "eviscerate" the U.S. Supreme Court's monumental Escobar decision by arguing that the government doesn't have to deny reimbursement to show that regulatory violations are serious, UnitedHealth Group Inc. said Tuesday.

  10. January 09, 2018

    Feds Fight UnitedHealth's Bid To Ax Medicare FCA Suit

    UnitedHealth Group Inc. should be unable to use a "tortured construction" of Medicare law to dodge a False Claims Act suit alleging the insurer overcharged the federal program, the U.S. Department of Justice said Monday.

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