A Whistle-Blower Tells of Health Insurers Bilking Medicare

[womanofthehills]

But now a whistle-blower, a former well-placed official at UnitedHealth Group, asserts that the big insurance companies have been systematically bilking Medicare Advantage for years, reaping billions of taxpayer dollars from the program by gaming the payment system.

https://www.nytimes.com/2017/05/15/business/dealbook/a-whistle-blower-tells-of-health-insurers-bilking-medicare.html?smid=tw-nytimes&smtyp=cur

[Equinox Moon]

1. This is big! Thanks for posting.

The Justice Department takes the whistle-blower’s claims so seriously that it has said it intends to sue the whistle-blower’s former employer, UnitedHealth Group, even as it investigates other Medicare Advantage participants. The agency has until the end of Tuesday to take action against UnitedHealth.

[Equinox Moon]

2. Wow. Whistleblowers are important and brave.

The sicker the patient, the more UnitedHealth was paid by Medicare Advantage — and the bigger the bonuses people earned, including Mr. Poehling.

[uponit7771]

3. I pray for his life, the HCI's are very very very immoral organizations. They're not to be trusted

.... at all.

[Equinox Moon]

4. He continues...

“They’ve set up a perfect scheme here,” Mr. Poehling said in an interview. “It was rigged so there was no way they could lose.”