Massachusetts Attorney General Andrea Joy Campbell filed suit against UnitedHealthcare, alleging the insurer fraudulently inflated health-status assessments for seniors in the MassHealth Senior Care Options plan. The company allegedly moved members into higher-paying care levels by reporting unsupported behavioral health diagnoses and falsely claimed members received skilled nursing services. The state seeks recovery of over $100 million in alleged overpayments along with treble damages and civil penalties.
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