Broker Regulation

UnitedHealth Group Inc. is responding to criminal and civil requests from the US Department of Justice about its Medicare practices, the company said, confirming reports of probes that have added to mounting challenges for the largest US health insurer.

Uche offers insights into the current state of the industry, the trends she’s watching, and how industry leaders can - and should - use their influence and spending power to push true innovation in the industry.

The lawsuit said the union’s health plan allowed coverage of Xenical to treat obesity but not newer products such as Wegovy or Zepbound. Nevertheless, since 2018, Optum Rx charged the union health plan $4,381,075 for 3,732 claims for uncovered weight-loss drugs, the plaintiffs alleged.

The convoluted and predatory world of Rx pricing might make hospital prices look tolerable.

In legal letters and court filings, UnitedHealth has cited Thompson’s murder to argue that criticizing the company could lead to further violence.

The rule exceeds the authority of the Consumer Financial Protection Bureau and violates the Fair Credit Reporting Act, Judge Sean Jordan of the U.S. District Court for the Eastern District of Texas ruled.