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UnitedHealth faces federal scrutiny into whistleblower claims | US healthcare

American lawmakers on both sides of the corridor are raising concerns and seeking to achieve investigations in the wake of the report of the Guardian of the demands of those whose exhumnits of practices in the UNITEDHELHELHELHELHELHELHELTH GROUP partnership programs.

One of the American Senator has announced that he is launching an investigation and two American actors are now inviting the US Department of Justice Expand Investigations reported in the country’s largest health care group. Others said they are upset with allegations of violations I informed the guardian Including allegations that UNITEDHELTH pushed bonuses to the elderly care homes to help reduce transfers in population hospitals and used incorrect sales tactics to make the residents of the nursing house race with the company’s Medicare Advantage plans.

Democratic members of the Congress-Alexandria Alexandria Cortez from New York and Ladid Dujet from Texas- Give a letter On Monday, the Ministry of Justice urges “to review the new disclosure accurately of coding reports and complaints of violations, indicating that United has participated in illegal activities.”

“The Guardian results reveal the need for a widespread achievement by the Ministry of Justice to years, if not contracts, from potential waste, fraud and abuse in UNITEDHELHE.”

Legislators are calling for investigations into the current and planned investigations by July 14.

United Denies The informants’ allegations say that the guardian’s reports on these issues are “wrong and flagrantly”. In response to a question about the representatives’ speech, the company said that the Ministry of Justice “has already refused to follow up on the matter” – referring to the previous decisions of the agency not to interfere in lawsuits for those whose violations against the law of wrong allegations in the United States. One of these lawsuits was ultimately dropped and the other suspended in the Federal Court of Georgia.

Another democratic, Senator in Oregon Ron and Eden, Declare Last month, on X, his office was “launching a full investigation to verify the accounts of the violations.”

“These reports require more investigation – no one deserves medical care to be at risk to the profits of the insurance company on a pillow,” said Widan, a member of the Senate Finance Committee. “My employees in the Finance Committee have a ten -year registry of comprehensive and objective investigations that follow the facts towards solutions that improve the federal health care policy for all Americans.”

“It is worrying to hear these serious allegations” about the company’s practices, “said Senator Josh Holie, a Republican in Missouri, who sits on the Senate Investigation Committee. “I look forward to securing justice to patients, documentary holders, and those whose violations are alike who have been harmed by insurance companies.”

Another Republic, Georgia Budddy Carter, has expressed similar concerns. “If these allegations are correct, UNITEDHEALTH should take responsibility for their misuse of patients,” said Carter, Chairman of the Parliament’s Sub -Committee in the field of health. “Patients should always come before profits.”

Inviring violations aLLLGATIONS

“The courage and condemnation” is from the informants. A driving force for reform. Highlighting the violations of consumer confidence is an invitation to work – and demand for accountability. “

UNITEDHELTH says her partnerships with elderly care homes guarantee better care for the elderly “through clinical care on site, personal treatment plans, and enhance coordination between caregivers.” The company says that these arrangements were very successful in helping the role of the elderly to prevent unnecessary residence in the hospital that can lead to serious problems such as delirium, fall, pressure injuries and “sometimes fatal consequences.”

Two informants who worked at UNITEDHELTH, where the nurses made practitioners of statements that were divided in May, claiming that the company used inappropriate tactics to reduce hospitals to the patients of the sick nursing house. Their ads were presented to the Securities and Stock Exchange Committee (SEC), the Federal Trade Committee (FTC), the Prosecutor’s Office in Washington and Congress, according to Whistleblower aid, which is not profitable to help both nurses.

Infallible violations Maxwell OlivantAn advertisement, which was mentioned by the guardian in May, says for the first time that he witnessed “delay and depriving the necessary emergency care” to the residents of the weak nursing house in order to “keep more money” from the payments that the company was receiving from the Medicare Advantage program of the United States government.

Under Medicare Advantage, a special alternative to traditional medical care, the federal government pays a fixed amount to cover medical services for the elderly. The less insurance companies spend on covering medical expenses, the greater the public dollars they left.

The Ollivant Declaration claims that UNITEDHELHE “was” avoided actively in the medical necessary hospitals-hospitals in the dangerous situations that threaten life, or situations to avoid immediate death or incredibly imminent inhalation-to avoid providing costs in hospitals to threaten life. “

UNITEDHELTH noted that the Ministry of Justice refused to join the lawsuit filed by Olivant against the company and decreased later. The company said that Olivant “is not in a position to assess the effectiveness of our programs – it lacks both the necessary data and experience.”

The second amounts, which have been submitted unknown, work with UNITEDHELHE for several years. Her advertisement says that her experiences as a nurse in her programs in the Nursing House gave her “a direct look at the development and influence of low care practices resulting from training, culture, operations, the delay and denial system for the necessary care.” This announcement criticizes the company.[a]ggression [p]Ush for DNRS “says,” The decision to obtain life care for the patient or their legal representative must rest, and it is certainly not the insurance company. “

United Health said that the allegations in the announcement of the informed of unknown violations show that they “did not fully understand our clinical model” and that her point of view “does not reflect the dedication and distinction of many distinguished doctors who understand the influence they have to support their patients and improve health results.”

The company also denies the DNRS claims.

“At any time we encouraged or pushed” the residents of the Nursing House “to sign DNR guidance,” said Heath representative. “Our health care providers are morally obligated to respect the patient’s independence and support enlightened decisions without coercion.”

Previous reports by Guardian also indicate allegations related to legal claims that have been affected by the third amounts, Brooke Gonet, a former sales representative for the UNITEDHELHELTH program.

Gonite claims in a lawsuit in the Federal Court in Georgia that UNITEDHELTH has requested a mistake and the elderly patients record their programs in the elderly through incorrect marketing tactics, including HIPAA violations, federal medical privacy law, and pushed the elderly care to obtain unlawful reviews of their residents.

UNITEDHEALTH denied these allegations and moved to rejecting Gonite. The Ministry of Justice, which officially refused to interfere in the case, opposed the UNITEDHEALTH proposal to refuse.

In April, Federal Judge Mark Testwell denied the unitedhealth suggestion of expulsion, and found that Gonite claims “large and varied” realistic “allegations that it emphasized” reasonably “violations of federal protection that aims to ensure that the weakened nursing house residents make enlightened decisions regarding their medical care. The company continues to reject these claims and says that Junt has been expelled due to the involvement in illegal sales tactics similar to that alleged in his suit.

In a statement, the company said that its employees “are trained in interactions compatible with the employees of the Nursing House and residents of the Nursing House, according to the instructions for marketing medical care and other applicable laws.”

Last week, shortly before the guardian published a second story that provides additional details about the lawsuit hanging in Gonite and ads of the violations, unitedhealth filed a lawsuit against the trustee in the Dilayer State Court, claiming that allegations were wrong and beverages. In a statement, the company said, “The article published by the Guardian is not only with inaccuracy – it is so incorrect and is so misleading that we filed a defamation lawsuit to hold the publication accountable and shed light on the full truth.”

The Guardian said that it stands alongside its “independent and independent reports in depth, which are based on thousands of companies and patients’ records, public lawsuits filed, advertisements submitted to federal and state agencies, and interviews with more than 20 current and previous employees in the United States – as well as the data and information provided by the UNITEDHELHELTH itself for several weeks.”

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