UNITEDHEALTHCARE INSURANCE v. XAVIER BECERRA, (SECRETARY OF HEALTH AND HUMAN SERVICES)

August 17, 2021

On Friday, a federal appeals court reinstated a law that requires private insurers that handle federally sponsored Medicare programs to repay potentially billions of dollars in overpayments resulting from inaccurate diagnoses.

UnitedHealth Group Inc (UNH.N) was dealt a blow by a panel of the D.C. Circuit Court of Appeals in Washington, which had successfully challenged the rule in a lower court.

UnitedHealth did not respond to a request for comment right away. The US Department of Health and Human Services, which oversees Medicare, the federal health-care program for seniors and individuals with disabilities, did not respond.

The 2014 rule applies to Medicare Advantage plans, which are funded by the Department of Health and Human Services but administered by commercial insurers such as UnitedHealth.