https://www.wsj.com/health/healthcare/unitedhealth-medicare-doj-diagnosis-investigation-66b9f1db Skip to Main Content Explore Our Brands * WSJ * ----------------------------------------------------------------- * Barron's * ----------------------------------------------------------------- * MarketWatch * ----------------------------------------------------------------- * IBD * ----------------------------------------------------------------- * * ----------------------------------------------------------------- Buy Side from WSJ The Wall Street Journal * English Edition Edition[English ] * Print Edition * Video * Audio * Latest Headlines * More More[Other Products from WSJ] * Latest * World Topics Africa Americas Asia China Europe Middle East India Oceania Russia U.K. More Science Anthropology Biology Environment Physics Space & Astronomy World Video Obituaries * Business Topics Airlines Autos C-Suite Deals Earnings Energy & Oil Entrepreneurship Telecom Retail Hospitality Logistics Media C-Suite CFO Journal CIO Journal CMO Today Logistics Report Risk & Compliance WSJ Professional WSJ Pro Bankruptcy WSJ Pro Central Banking WSJ Pro Cybersecurity WSJ Pro Private Equity WSJ Pro Sustainable Business WSJ Pro Venture Capital More Heard on the Street Journal Reports Business Video Business Podcast * U.S. Topics Climate & Environment Education Law College Rankings 2025 More U.S. Video What's News Podcast * Politics Topics Elections National Security Policy More Politics Video * Economy Topics Central Banking Consumers Housing Jobs Trade Global WSJ Professional WSJ Pro Bankruptcy WSJ Pro Central Banking WSJ Pro Private Equity WSJ Pro Venture Capital More Capital Account Economic Forecasting Survey Economy Video * Tech Topics AI Biotech Cybersecurity Personal Technology More Keywords by Christopher Mims Personal Tech by Joanna Stern Family & Tech by Julie Jargon Personal Tech by Nicole Nguyen CIO Journal The Future of Everything Tech Video Tech Podcast * Markets & Finance Topics Banking Commodities & Futures Currencies Investing Regulation Stocks More Heard on the Street Capital Account by Greg Ip The Intelligent Investor by Jason Zweig Tax Report by Laura Saunders Streetwise by James Mackintosh CFO Journal Markets Video Your Money Briefing Podcast Market Data Market Data Home Companies U.S. Stocks Commodities Bonds & Rates Currencies Market Data Mutual Funds & ETFs * Opinion Columnists Gerard Baker Sadanand Dhume Allysia Finley James Freeman William A. Galston Daniel Henninger Holman W. Jenkins Andy Kessler William McGurn Walter Russell Mead Peggy Noonan Mary Anastasia O'Grady Jason Riley Joseph Sternberg Kimberley A. Strassel More Editorials Commentary Future View Houses of Worship Cross Country Letters to the Editor The Weekend Interview All Things with Kim Strassel Potomac Watch Podcast Foreign Edition Podcast Free Expression Podcast Opinion Video Notable & Quotable * Arts Topics Books Film Fine Art History Music Television Theater Reviews Architecture Review Art Reviews Book Reviews Film Reviews Television Reviews Theater Reviews Masterpiece Series Music Reviews Dance Reviews Opera Reviews Exhibition Reviews Cultural Commentary More WSJ Puzzles What To Watch Arts Calendar * Lifestyle Topics Careers Cars Fitness Food & Cooking Relationships Travel Workplace More On Wine by Lettie Teague Work & Life by Rachel Feintzeig Carry On by Dawn Gilbertson On The Clock by Callum Borchers Elizabeth Bernstein Turning Points by Clare Ansberry WSJ Puzzles Recipes * Real Estate Topics Commercial Real Estate Luxury Homes * Personal Finance Topics Retirement Savings Credit Taxes Mortgages More The Intelligent Investor by Jason Zweig Tax Report by Laura Saunders Streetwise by James Mackintosh * Health Topics Healthcare Pharma Wellness More Your Health by Sumathi Reddy * Style Topics Beauty Design Fashion More Off Brand by Rory Satran My Monday Morning * Sports Topics Baseball Basketball Football Golf Hockey Olympics Soccer Tennis More Jason Gay The Wall Street Journal * Latest * World Topics Africa Americas Asia China Europe Middle East India Oceania Russia U.K. More Science Anthropology Biology Environment Physics Space & Astronomy World Video Obituaries * Business Topics Airlines Autos C-Suite Deals Earnings Energy & Oil Entrepreneurship Telecom Retail Hospitality Logistics Media C-Suite CFO Journal CIO Journal CMO Today Logistics Report Risk & Compliance WSJ Professional WSJ Pro Bankruptcy WSJ Pro Central Banking WSJ Pro Cybersecurity WSJ Pro Private Equity WSJ Pro Sustainable Business WSJ Pro Venture Capital More Heard on the Street Journal Reports Business Video Business Podcast * U.S. Topics Climate & Environment Education Law College Rankings 2025 More U.S. Video What's News Podcast * Politics Topics Elections National Security Policy More Politics Video * Economy Topics Central Banking Consumers Housing Jobs Trade Global WSJ Professional WSJ Pro Bankruptcy WSJ Pro Central Banking WSJ Pro Private Equity WSJ Pro Venture Capital More Capital Account Economic Forecasting Survey Economy Video * Tech Topics AI Biotech Cybersecurity Personal Technology More Keywords by Christopher Mims Personal Tech by Joanna Stern Family & Tech by Julie Jargon Personal Tech by Nicole Nguyen CIO Journal The Future of Everything Tech Video Tech Podcast * Markets & Finance Topics Banking Commodities & Futures Currencies Investing Regulation Stocks More Heard on the Street Capital Account by Greg Ip The Intelligent Investor by Jason Zweig Tax Report by Laura Saunders Streetwise by James Mackintosh CFO Journal Markets Video Your Money Briefing Podcast Market Data Market Data Home Companies U.S. Stocks Commodities Bonds & Rates Currencies Market Data Mutual Funds & ETFs * Opinion Columnists Gerard Baker Sadanand Dhume Allysia Finley James Freeman William A. Galston Daniel Henninger Holman W. Jenkins Andy Kessler William McGurn Walter Russell Mead Peggy Noonan Mary Anastasia O'Grady Jason Riley Joseph Sternberg Kimberley A. Strassel More Editorials Commentary Future View Houses of Worship Cross Country Letters to the Editor The Weekend Interview All Things with Kim Strassel Potomac Watch Podcast Foreign Edition Podcast Free Expression Podcast Opinion Video Notable & Quotable * Arts Topics Books Film Fine Art History Music Television Theater Reviews Architecture Review Art Reviews Book Reviews Film Reviews Television Reviews Theater Reviews Masterpiece Series Music Reviews Dance Reviews Opera Reviews Exhibition Reviews Cultural Commentary More WSJ Puzzles What To Watch Arts Calendar * Lifestyle Topics Careers Cars Fitness Food & Cooking Relationships Travel Workplace More On Wine by Lettie Teague Work & Life by Rachel Feintzeig Carry On by Dawn Gilbertson On The Clock by Callum Borchers Elizabeth Bernstein Turning Points by Clare Ansberry WSJ Puzzles Recipes * Real Estate Topics Commercial Real Estate Luxury Homes * Personal Finance Topics Retirement Savings Credit Taxes Mortgages More The Intelligent Investor by Jason Zweig Tax Report by Laura Saunders Streetwise by James Mackintosh * Health Topics Healthcare Pharma Wellness More Your Health by Sumathi Reddy * Style Topics Beauty Design Fashion More Off Brand by Rory Satran My Monday Morning * Sports Topics Baseball Basketball Football Golf Hockey Olympics Soccer Tennis More Jason Gay SectionsMy Account * + Home + Latest + World + Business + U.S. + Politics + Economy + Tech + Markets & Finance + Opinion + Arts + Lifestyle + Real Estate + Personal Finance + Taxes + Health + Style + Sports + Print Edition + Video + Audio + Latest Headlines * More + Buy Side from WSJ + The Journal Collection + WSJ Shop + WSJ Wine * Latest * World + Main + Africa + Americas + Asia + China + Europe + Middle East + India + Oceania + Russia + U.K. + Science + Anthropology + Biology + Environment + Physics + Space & Astronomy + World Video + Obituaries * Business + Main + Airlines + Autos + C-Suite + Deals + Earnings + Energy & Oil + Entrepreneurship + Telecom + Retail + Hospitality + Logistics + Media + CFO Journal + CIO Journal + CMO Today + Logistics Report + Risk & Compliance + WSJ Pro Bankruptcy + WSJ Pro Central Banking + WSJ Pro Cybersecurity + WSJ Pro Private Equity + WSJ Pro Sustainable Business + WSJ Pro Venture Capital + Heard on the Street + Journal Reports + Business Video + Business Podcast * U.S. + Main + Climate & Environment + Education + Law + College Rankings 2025 + U.S. Video + What's News Podcast * Politics + Main + Elections + National Security + Policy + Politics Video * Economy + Main + Central Banking + Consumers + Housing + Jobs + Trade + Global + WSJ Pro Bankruptcy + WSJ Pro Central Banking + WSJ Pro Private Equity + WSJ Pro Venture Capital + Capital Account + Economic Forecasting Survey + Economy Video * Tech + Main + AI + Biotech + Cybersecurity + Personal Technology + Keywords by Christopher Mims + Personal Tech by Joanna Stern + Family & Tech by Julie Jargon + Personal Tech by Nicole Nguyen + CIO Journal + The Future of Everything + Tech Video + Tech Podcast * Markets & Finance + Main + Banking + Commodities & Futures + Currencies + Investing + Regulation + Stocks + Heard on the Street + Capital Account by Greg Ip + The Intelligent Investor by Jason Zweig + Tax Report by Laura Saunders + Streetwise by James Mackintosh + CFO Journal + Markets Video + Your Money Briefing Podcast + Market Data Home + Companies + U.S. Stocks + Commodities + Bonds & Rates + Currencies Market Data + Mutual Funds & ETFs * Opinion + Main + Gerard Baker + Sadanand Dhume + Allysia Finley + James Freeman + William A. Galston + Daniel Henninger + Holman W. Jenkins + Andy Kessler + William McGurn + Walter Russell Mead + Peggy Noonan + Mary Anastasia O'Grady + Jason Riley + Joseph Sternberg + Kimberley A. Strassel + Editorials + Commentary + Future View + Houses of Worship + Cross Country + Letters to the Editor + The Weekend Interview + All Things with Kim Strassel + Potomac Watch Podcast + Foreign Edition Podcast + Free Expression Podcast + Opinion Video + Notable & Quotable * Arts + Main + Books + Film + Fine Art + History + Music + Television + Theater + Architecture Review + Art Reviews + Book Reviews + Film Reviews + Television Reviews + Theater Reviews + Masterpiece Series + Music Reviews + Dance Reviews + Opera Reviews + Exhibition Reviews + Cultural Commentary + WSJ Puzzles + What To Watch + Arts Calendar * Lifestyle + Main + Careers + Cars + Fitness + Food & Cooking + Relationships + Travel + Workplace + On Wine by Lettie Teague + Work & Life by Rachel Feintzeig + Carry On by Dawn Gilbertson + On The Clock by Callum Borchers + Elizabeth Bernstein + Turning Points by Clare Ansberry + WSJ Puzzles + Recipes * Real Estate + Main + Commercial Real Estate + Luxury Homes * Personal Finance + Main + Retirement + Savings + Credit + Taxes + Mortgages + The Intelligent Investor by Jason Zweig + Tax Report by Laura Saunders + Streetwise by James Mackintosh * Taxes * Health + Main + Healthcare + Pharma + Wellness + Your Health by Sumathi Reddy * Style + Main + Beauty + Design + Fashion + Off Brand by Rory Satran + My Monday Morning * Sports + Main + Baseball + Basketball + Football + Golf + Hockey + Olympics + Soccer + Tennis + Jason Gay WSJ Logo DOJ Investigates Medicare Billing Practices at UnitedHealth Share Resize --------------------------------------------------------------------- Listen (2 min) Advertisement This copy is for your personal, non-commercial use only. Distribution and use of this material are governed by our Subscriber Agreement and by copyright law. For non-personal use or to order multiple copies, please contact Dow Jones Reprints at 1-800-843-0008 or visit www.djreprints.com. https://www.wsj.com/health/healthcare/ unitedhealth-medicare-doj-diagnosis-investigation-66b9f1db 1. exclusive 2. Healthcare DOJ Investigates Medicare Billing Practices at UnitedHealth Civil probe of diagnoses that triggered extra payments to the company's Medicare Advantage plans adds to scrutiny of the healthcare giant By Christopher Weaver and Anna Wilde Mathews Share Resize --------------------------------------------------------------------- Listen (2 min) After the shooting of UnitedHealthcare CEO Brian Thompson in New York City, physicians offer a sober look at frustrations with the healthcare system in the U.S. Photo: Photo Illustration: Preston Jessee/Aric Crabb/Digital First Media/Bay Area News via Getty Images The Justice Department has launched an investigation into UnitedHealth Group's UNH -7.17%decrease; red down pointing triangle Medicare billing practices in recent months, people familiar with the matter said. The new civil fraud investigation is examining the company's practices for recording diagnoses that trigger extra payments to its Medicare Advantage plans, including at physician groups the insurance giant owns. Copyright (c)2025 Dow Jones & Company, Inc. All Rights Reserved. 87990cbe856818d5eddac44c7b1cdeb8 --------------------------------------------------------------------- Videos What's News Top stories chosen by WSJ editors Most Popular News Recommended for You Top Stories Most Popular Recommended for You --------------------------------------------------------------------- Most Popular News --------------------------------------------------------------------- Most Popular OPINION --------------------------------------------------------------------- Further Reading [im-07243849] Health Insurers Deny 850 Million Claims a Year. The Few Who Appeal Often Win. Flags fly at half-staff outside of the office of UnitedHealthcare, the day after the CEO of UnitedHealthcare, Brian Thompson was shot dead, in Minnetonka, Minnesota, U.S., December 5, 2024. REUTERS/Eric Miller How Health Insurers Racked Up Billions in Extra Payments From Medicare Advantage Naysha Isom, MD, is a board-certified family medicine physician and founder of Isom MD in Las Vegas, Nevada has a consult with a patient on Dec. 23, 2024. CREDIT: Mikayla Whitmore for the WSJUHDOCTORS UnitedHealth's Army of Doctors Helped It Collect Billions More From Medicare A staff nurse from Bergen New Bridge Medical Center Hospital checks a patient in Paramus, New Jersey, on October 26, 2023. The availability of gig work comes as US hospitals try new ways to alleviate a staffing crunch, drawing comparisons to convenience associated with apps like Uber. But critics warn this could impact patient care or fuel tensions within the workforce. Some 100,000 registered nurses left the workplace due to stresses in the Covid-19 pandemic, found a report this year by the National Council of State Boards of Nursing. (Photo by KENA BETANCUR / AFP) (Photo by KENA BETANCUR/AFP via Getty Images) How American Health Insurance Got So Infuriating (FILES) In this file photo taken on August 28, 2019 an entry sign to the Johnson & Johnson campus shows their logo in Irvine, California. - The US Food and Drug Administration (FDA) on February 27, 2021 issued emergency use authorization for the Johnson & Johnson Covid-19 vaccine. (Photo by Mark RALSTON / AFP) (Photo by MARK RALSTON/AFP via Getty Images) J&J Accuses Big Health Insurer of Helping Drain Its Drug Copay Funds Advertisement * The Wall Street Journal * English Edition Edition[English ] * Subscribe NowSign In * Back to Top << WSJ Membership * The Journal Collection * Subscription Options * Why Subscribe? * Corporate Subscriptions * WSJ Higher Education Program * WSJ High School Program * Public Library Program * WSJ Live * Commercial Partnerships Customer Service * Customer Center * Contact Us * Cancel My Subscription Tools & Features * Newsletters & Alerts * Guides * Topics * My News * RSS Feeds * Video Center * Watchlist * Podcasts * Visual Stories Ads * Advertise * Commercial Real Estate Ads * Place a Classified Ad * Sell Your Business * Sell Your Home * Recruitment & Career Ads * Digital Self Service More * About Us * Content Partnerships * Corrections * Jobs at WSJ * News Archive * Register for Free * Reprints & Licensing * Buy Issues * WSJ Shop * Dow Jones Press Room * Dow Jones Smart Money * WSJ Membership Benefits * Customer Center * Cancel My Subscription * Legal Policies * Facebook * Twitter * Instagram * YouTube * Podcasts * Snapchat * Google Play * App Store Dow Jones Products * Barron's * BigCharts * Dow Jones Newswires * Factiva * Financial News * Mansion Global * MarketWatch * Risk & Compliance * Buy Side from WSJ * WSJ Pro * WSJ Video * WSJ Wine * The Times * Privacy Notice * Cookie Notice * Copyright Policy * Data Policy * Terms of Use * Your Ad Choices * Accessibility * Copyright (c)2025 Dow Jones & Company, Inc. All Rights Reserved. Back to Top << English Edition Edition[English ] --------------------------------------------------------------------- * Facebook * Twitter * Instagram * YouTube * Podcasts * Snapchat WSJ Membership * The Journal Collection * Subscription Options * Why Subscribe? * Corporate Subscriptions * WSJ Higher Education Program * WSJ High School Program * Public Library Program * WSJ Live * Commercial Partnerships Customer Service * Customer Center * Contact Us * Cancel My Subscription Tools & Features * Newsletters & Alerts * Guides * Topics * My News * RSS Feeds * Video Center * Watchlist * Podcasts * Visual Stories Ads * Advertise * Commercial Real Estate Ads * Place a Classified Ad * Sell Your Business * Sell Your Home * Recruitment & Career Ads * Digital Self Service More * About Us * Content Partnerships * Corrections * Jobs at WSJ * News Archive * Register for Free * Reprints & Licensing * Buy Issues * WSJ Shop * Dow Jones Press Room * Dow Jones Smart Money * WSJ Membership Benefits * Customer Center * Cancel My Subscription * Legal Policies * Dow Jones Press Room * The Times * Google Play * App Store --------------------------------------------------------------------- Sign In Copyright (c)2025 Dow Jones & Company, Inc. All Rights Reserved. Copyright (c)2025 Dow Jones & Company, Inc. All Rights Reserved This copy is for your personal, non-commercial use only. Distribution and use of this material are governed by our Subscriber Agreement and by copyright law. For non-personal use or to order multiple copies, please contact Dow Jones Reprints at 1-800-843-0008 or visit www.djreprints.com.