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unitedhealth group wants whistleblower lawsuit dismissed

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unitedhealth group wants whistleblower lawsuit dismissed

unitedhealth group asked friday for the dismissal of a whistleblower lawsuit that alleges the company wrongly received higher payments from medicare based on false information about enrollee health problems that the insurer could have corrected.in a federal court filing, the minnetonka-based insurer said companies that sell “medicare advantage” plans — a private alternative to the traditional government health insurance program — are not required to validate the accuracy of diagnostic data that is submitted by health care providers.the government itself does not validate such information when administering the traditional medicare program, unitedhealth group argues, adding that the federal statute calls for medicare advantage (ma) plans to be paid based on an “apples-to-apples comparison of the health status” of enrollees in the private and traditional branches of the program.the friday filing comes in a lawsuit initially filed by a california whistleblower, which the federal government joined earlier this year.“the department of justice (doj) belatedly has entered a decadelong payment policy discussion between medicare advantage plans and the centers for medicare & medicaid services (cms),” the company said in its filing. “doj is flat wrong. ma plans are not, and cannot be, required to undertake the affirmative steps doj suggests.”beyond challenging the government’s theory of the case, unitedhealth group says the lawsuit should be dismissed because it f...