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UnitedHealth under criminal probe for possible Medicare fraud, WSJ reports

  • In May 2025, the U.S. Department of Justice launched a criminal probe into UnitedHealth Group concerning allegations of Medicare fraud, as detailed by the Wall Street Journal.
  • This probe follows heightened regulatory scrutiny, a civil fraud investigation since last summer, and the abrupt resignation of CEO Andrew Witty in early May 2025.
  • The investigation focuses on UnitedHealth's Medicare Advantage operations amid wider legal actions alleging that brokers received improper payments to direct patients toward these plans.
  • Shares dropped nearly 18% to a four-year low with after-hours declines of 8%, while UnitedHealth denied knowledge of the probe and called the report 'deeply irresponsible.'
  • The unfolding legal and regulatory challenges have intensified market pressure on UnitedHealth and may signal increasing risks for its Medicare Advantage operations.
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Forbes broke the news in United States on Wednesday, May 14, 2025.
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