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Originally Posted by Aces4
Some one appears to have an agenda... Here are further facts:
UnitedHealth said in response that "the U.S. Department of Justice investigated these allegations, interviewed witnesses, and obtained thousands of documents that demonstrated the significant factual inaccuracies in the allegations."
The company also said in an emailed statement that the DoJ declined to pursue the matter after reviewing all the evidence during its multi-year investigation.
Going out to play may help if people have a fixation.
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We shall see, the DOJ has dropped many cases recently which seem like a slam dunk against grifting behaviors, due to changes in administration beliefs and goals. . . so what had been dropped in the past may be reopened under different administration viewpoints. .
doesn't mean that the behaviors didn't happen. Just means that for some reason unknown at this time, that the DOJ declined to pursue prosecution.
CMS rates hospitals for readmissions for a prior procedure, rates nursing homes, skilled care facilities, for management of their population, ie sending residents out to hospitals unnecessarily, and rates insurance companies supervising their patients with case management. Insurance case managers keeping nursing / skilled care facility from sending back their patients would help with insurance reviews and therefore insurance reimbursement rates.
"follow the money" applies in this case. . . not statements defending allegations with facts subject to conditional outcomes. . .