Insurers Pocketed $50 Billion From Medicare for Diseases No Doctor Treated

A Wall Street Journal analysis has revealed that private insurers in the government's Medicare Advantage program, including UnitedHealth Group, have made numerous questionable diagnoses leading to increased taxpayer-funded payments between 2018 and 2021.

The investigation found instances where patients were diagnosed with conditions they did not have, such as diabetic cataracts and HIV, often without their knowledge. These diagnoses resulted in higher payments from Medicare to the insurers. The Centers for Medicare and Medicaid Services said they are implementing changes to ensure 'taxpayer dollars are appropriately spent.' The story adds: In all, Medicare paid insurers about $50 billion for diagnoses added just by insurers in the three years ending in 2021, the Journal's analysis showed.

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