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November 10, 2025

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“UnitedHealth under Federal Investigation Due to Whistleblower Allegations: What You Need to Know”

US lawmakers from both political parties are expressing concerns and calling for investigations following whistleblower claims about practices within UnitedHealth Group’s nursing home partnership programs. A US senator has initiated an investigation, while two US representatives are urging the Department of Justice to expand its ongoing investigations into the healthcare conglomerate. The allegations reported by the Guardian include claims that UnitedHealth incentivized nursing homes to reduce residents’ hospital transfers and utilized improper sales tactics to enroll nursing home residents in Medicare Advantage plans.

Democratic representatives Alexandria Ocasio-Cortez and Lloyd Doggett filed a letter urging the Department of Justice to thoroughly review the new revelations and whistleblower complaints, suggesting potential illegal activities by UnitedHealth. In response, UnitedHealth vehemently denied the allegations, dismissing the Guardian’s reporting as false and misleading. Senator Ron Wyden announced a full investigation into the matter, emphasizing the importance of protecting patients’ interests over insurance company profits.

The whistleblowers’ allegations highlight concerns about UnitedHealth’s practices, including allegations of delaying necessary emergency care to maximize profits from government payments. The company defends its partnerships with nursing homes, stating they aim to provide better care for seniors and prevent unnecessary hospitalizations. However, the whistleblowers’ declarations raise doubts about the company’s commitment to patient care and ethical practices.

The ongoing scrutiny and demand for investigations underscore the gravity of the situation, with lawmakers emphasizing the need for accountability and reform within the healthcare industry. UnitedHealth’s denial of the allegations sets the stage for a contentious investigation into the company’s practices, potentially reshaping the landscape of healthcare policies and regulations.

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