Senators seek UnitedHealth records on push to curb nursing home hospitalizations
Source: The Guardian
Thu 7 Aug 2025 12.33 EDT
Last modified on Thu 7 Aug 2025 12.34 EDT
US lawmakers are asking UnitedHealth Group, the nations largest healthcare conglomerate, to disclose internal documents about its efforts to reduce hospital transfers for nursing home residents and the bonuses it has given to nursing homes which help it to do so.
In a 6 August letter, the Democratic senators Ron Wyden and Elizabeth Warren asked UnitedHealths CEO, Stephen Hemsley, to hand over a trove of company records about a partnership program it has with nursing homes across the country, which aims to decrease hospitalizations and thereby coverage expenses for the conglomerate. The document demand letter follows a Guardian investigation into the initiative.
Put simply, these allegations suggest that UHG [UnitedHealth Group] appears to be prioritizing its bottom line at the expense of the health and safety of nursing home residents enrolled in UHG I-SNPs, Wyden and Warren wrote, referring to a type of UnitedHealth plan for long-term nursing home residents. Nursing home residents and their families should not live in fear of a for-profit health care company withholding care when it is most critical.
UnitedHealth argues the program is designed to curb unnecessary hospitalizations. The company has vigorously denied the allegations in the Guardians 21 May investigation, which was based on thousands of confidential corporate and patient records, public records requests and court files, interviews with more than 20 current and former UnitedHealth and nursing home employees, and two whistleblower declarations submitted to Congress in May through the non-profit legal group Whistleblower Aid.
Read more: https://www.theguardian.com/us-news/2025/aug/07/unitedhealth-nursing-home-hospitalizations
Link to LETTER (PDF viewer) - https://www.documentcloud.org/documents/26041556-letter-to-uhg-8625-final/
Link to LETTER (PDF) - https://s3.documentcloud.org/documents/26041556/letter-to-uhg-8625-final.pdf

Silent Type
(10,682 posts)after the fact if reviewers dont think the length of stay was necessary.
Its the nature of healthcare, unfortunately.
Bayard
(26,588 posts)From the same bean counters that won't approve other essential procedures. People in most nursing homes already have a low enough quality of life.
I doubt many insurance review personnel have any medical training at all.