U.S. Supreme Court rebuffs UnitedHealth Group challenge on Medicare overpayments [View all]
Source: Reuters
(Reuters) -The U.S. Supreme Court on Tuesday declined to hear UnitedHealth Group Inc's challenge to a government rule requiring private insurers that administer federally funded Medicare plans to return potentially billions of dollars in overpayments they receive based on incorrect diagnoses.
Turning away the Minnetonka, Minnesota-based insurer's appeal, the justices left in place a lower court's decision reviving the rule after a federal judge had previously struck it down.
UnitedHealth said in a statement that it would continue to comply with federal rules and "remain focused on providing high quality and affordable healthcare to millions of seniors."
The 2014 rule applies to so-called Medicare Advantage insurance plans, which are funded through the U.S. Department of Health and Human Services (HHS) but administered by private insurers like UnitedHealth. HHS pays Medicare Advantage plans a base amount per beneficiary, adjusted according to diagnostic codes reflecting each beneficiary's individual risk factors.
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