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Allegations: Insurersbilking Medicare

Longview News-Journal - 5/16/2017

When Medicare was facing a $13 trillion funding gap, Congress opted for a bold fix: It handed over part of the program to insurance companies, expecting them to provide better care at a lower cost. The new program was named Medicare Advantage.

But now a whistleblower, a former well-placed official at UnitedHealth Group, asserts 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.

The Justice Department has said it intends to sue UnitedHealth Group, even as it investigates other Medicare Advantage participants.

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