POLITICS

CommonWealth Beacon takes the pulse of Massachusetts politics by examining the policies, personalities, and pressing issues shaping moves in local governance, on Beacon Hill, and among the state’s congressional delegation in Washington.

UnitedHealthcare defrauded MassHealth of $100M, AG alleges

ATTORNEY GENERAL ANDREA CAMPBELL sued UnitedHealthcare Insurance Company on Friday, accusing the insurer of misclassifying the conditions of elderly members and defrauding MassHealth of at least $100 million. United fired back that Campbell’s lawsuit is “meritless” and inaccurately captures the purpose of a managed care program. The lawsuit revolves around MassHealth members ages 65 and up enrolled in the Senior Care Options plan. It alleges that United “falsely manipulated” their health evaluations in order to secure bigger payments, Campbell’s office said. Members are assessed from Level 1 to Level 3, with higher levels corresponding to more serious conditions and higher…

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