Elizabeth Warren Grills United Health CEO Months Before Luigi Mangione Murder

00:06:13
https://www.youtube.com/watch?v=ox8LtwBvnag

Summary

TLDRSenatorer konfronterer United Health Group under en høring, hvor virksomheden anklages for at misbruge sin dominerende markedsposition for at maksimere profit. United Health har opnået en stor økonomisk succes med 22 milliarder dollars i profit og er kendt for at være den 11. største virksomhed i verden målt på omsætning. Virksomheden har kontrol over en betydelig del af den amerikanske sundhedspleje-sektor. Bekymringer blev rejst omkring praksissen 'upcoding', hvor patienters sygdomme overdrives for at øge betalinger fra programmer som Medicare. Det blev også nævnt, at United Health er under efterforskning af Justitsministeriet for potentielt ulovlige faktureringsmetoder. Endvidere blev det diskuteret, hvordan en databrud krise blev brugt til virksomhedens fordel til at købe op flere lægepraksis. Der blev opfordret til regulering for at forhindre yderligere monopoldannelse og sikre, at sundhedsydelser først og fremmest tjener patienterne og ikke profitmaksimering.

Takeaways

  • 💰 United Health opnåede 22 milliarder dollars i profit i 2023.
  • 🏥 Virksomheden er verdens 11. største efter omsætning.
  • 📈 Anklages for aggressiv brug af 'upcoding' for at øge betalinger.
  • 🔍 Under efterforskning af Justitsministeriet for faktureringspraksis.
  • 🛡️ Brugte en databrud krise for yderligere opkøb af praksis.
  • ⚕️ Kontrollerer en betydelig del af sundhedspleje-sektoren.
  • 🏢 Udvider gennem opkøb af lægepraksis efter økonomiske kriser.
  • 🤝 Har influens over næsten en ud af ti læger i USA.
  • 💼 Opfordrer til regulering mod monopolistiske tendenser.
  • 👥 Interessekonflikt mellem profit og patientpleje blev fremhævet.

Timeline

  • 00:00:00 - 00:06:13

    Hr. Witty blev stillet spørgsmål vedrørende United Health's enorme overskud på 22 milliarder dollars i 2023. Han blev konfronteret med anklager om, at virksomheden bruger sin dominerende position i sundhedssektoren til at hæve priser, skjule indtægter, og presser læger til at prioritere profit over patienter. Det blev også nævnt, at United Health er under efterforskning for ulovlige faktureringsmetoder, som angiveligt har snydt skatteyderne for milliarder af dollars gennem såkaldte 'upcoding' praksisser, der puster diagnoser op. Desuden blev der rejst bekymringer over United Health's forsøg på at udvide sin monopoldominans efter et stort databrud ved at købe lokale lægepraksisser, som er økonomisk presset. Regulatorer blev opfordret til at stoppe United Health's ekspansionsforsøg og bryde virksomheden op for at beskytte patienter, læger og skatteydere.

Mind Map

Video Q&A

  • Hvem er Mr. Witty?

    Mr. Witty er en repræsentant fra United Health Group, der taler ved en senatshøring.

  • Hvor mange læger er tilknyttet United Health Group?

    United Health Group har kontrol over cirka 90.000 læger, men direkte ansat under 10.000.

  • Hvad er upcoding, og hvordan bruger United Health dette?

    Upcoding er praksissen med at diagnosticere patienter med mere alvorlige tilstande for at øge indtægter fra forsikringsordninger som Medicare. United Health er blevet beskyldt for aggressiv brug af denne praksis.

  • Er United Health under efterforskning?

    Ja, der er offentlig rapportering om, at United Health er under efterforskning af Justitsministeriet vedrørende faktureringspraksis.

  • Hvordan påvirkede data bruddet United Health's aktiviteter?

    Efter et stort data brud, brugte United Health krisen til at forsøge at udvide deres virksomhed ved at opkøbe lægepraksis i økonomiske problemer.

  • Hvordan påvirker United Health's størrelse sundhedssektoren?

    United Health's størrelse giver dem stor indflydelse og muligheder for monopolistiske aktiviteter, hvilket kan skade konkurrence og patientpleje.

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  • 00:00:00
    Mr chairman so Mr witty in 2023 United
  • 00:00:03
    Health W raped in a whopping $22 billion
  • 00:00:08
    in profits making you the most
  • 00:00:10
    profitable health care company in the
  • 00:00:13
    country in fact by Revenue United Health
  • 00:00:16
    is the 11th largest company in the
  • 00:00:19
    entire world now Mr witty United Health
  • 00:00:22
    Group owns the country's largest insurer
  • 00:00:26
    the country's largest claims processor
  • 00:00:29
    the country's thirdd largest Pharmacy
  • 00:00:31
    benefit manager a huge Pharmacy chain it
  • 00:00:35
    is the largest employer of Physicians
  • 00:00:38
    Nationwide or controller uh with at
  • 00:00:42
    least 990,000 Physicians as you just
  • 00:00:44
    testified that's about one out of every
  • 00:00:47
    10 doctors in the country is that
  • 00:00:51
    correct about your size uh so just not
  • 00:00:54
    just to thank you Senator that the uh as
  • 00:00:57
    far as the Physicians are concerned we
  • 00:00:58
    employ just under 10,000
  • 00:01:01
    control over about
  • 00:01:02
    90,000 I would say not controlled they
  • 00:01:05
    they choose to work with us okay uh
  • 00:01:10
    great uh because United Health has
  • 00:01:13
    brought up every bought up every Link in
  • 00:01:16
    the healthc care chain you are now in a
  • 00:01:19
    position to jack up prices squeeze
  • 00:01:21
    competitors hide revenues and pressure
  • 00:01:24
    doctors to put profits ahead of patients
  • 00:01:27
    United Health is a monopoly on
  • 00:01:30
    steroids the opportunities for price
  • 00:01:33
    gouging are everywhere for example
  • 00:01:35
    United Health is the biggest participant
  • 00:01:38
    in Medicare Advantage the government
  • 00:01:41
    program that pays private insurers to
  • 00:01:43
    administer Medicare benefits with this
  • 00:01:46
    web of subsidiaries United Health is
  • 00:01:49
    well positioned to rake in more taxpayer
  • 00:01:52
    money by using a practice called
  • 00:01:54
    upcoding to make enroles look sicker
  • 00:01:57
    that is noticing that a patient has a
  • 00:01:59
    cane and adding a diagnosis of vascular
  • 00:02:02
    disease to the medical chart even if
  • 00:02:04
    there's no clinical basis for the
  • 00:02:06
    diagnosis and no treatment planned Mr
  • 00:02:09
    witty according to a 2019 investigation
  • 00:02:12
    by the HHS Inspector General United
  • 00:02:16
    Health was Far and Away the most
  • 00:02:18
    aggressive abuser of upcoding practices
  • 00:02:21
    do you know how much according to the
  • 00:02:24
    Inspector General United Health cheated
  • 00:02:27
    taxpayers out of in 2017
  • 00:02:32
    uh Senator thank you for the question
  • 00:02:34
    I'm not familiar with that particular
  • 00:02:36
    pce the number is
  • 00:02:37
    3.7 billion do and that's in just a
  • 00:02:42
    single year and that's from only two
  • 00:02:45
    upcoding
  • 00:02:46
    practices you know that was five years
  • 00:02:50
    ago now as we speak is United Health
  • 00:02:53
    under investigation from the doj for
  • 00:02:57
    among other things your billing
  • 00:02:58
    practices uh Senator thank you for your
  • 00:03:01
    question uh we have a longstanding
  • 00:03:03
    practice of not commenting on matters
  • 00:03:05
    such as that or things like merges
  • 00:03:07
    acquisition well I understand why you
  • 00:03:09
    might not want to comment on it public
  • 00:03:10
    reporting from The Wall Street Journal
  • 00:03:13
    confirms that it is although your
  • 00:03:16
    company has not disclosed this
  • 00:03:18
    investigation in fact yesterday I sent
  • 00:03:20
    the SEC a letter raising concerns about
  • 00:03:24
    over a hundred million in stock sales
  • 00:03:27
    that United Health Executives made in
  • 00:03:29
    days and weeks before the investigation
  • 00:03:32
    was revealed by the press and I'd like
  • 00:03:34
    to make that part of the hearing record
  • 00:03:36
    if I can Mr chair SW okay so United
  • 00:03:39
    Health is huge and it boosts its
  • 00:03:42
    multi-billion dollar profits with among
  • 00:03:45
    other things illegal billing tactics and
  • 00:03:48
    that takes me to the data breach after
  • 00:03:50
    the largest Cyber attack on the healthc
  • 00:03:52
    care industry in American history quote
  • 00:03:56
    put hundreds of thousands of healthcare
  • 00:03:58
    providers at risk of collapse United
  • 00:04:02
    Health is now using the crisis to expand
  • 00:04:05
    its Monopoly even further for example in
  • 00:04:08
    Oregon United Health tried to purchase a
  • 00:04:11
    local physician practice but faced
  • 00:04:14
    enormous public opposition after the
  • 00:04:17
    data breach that we're talking about
  • 00:04:18
    today these doctors couldn't get
  • 00:04:20
    reimbursed for their services which
  • 00:04:22
    pushes them to the financial breach so
  • 00:04:26
    what did United Health do they filed an
  • 00:04:28
    emergency p ition with Regulators to
  • 00:04:31
    allow them to acquire the Doctor's
  • 00:04:33
    practice on an expedited basis Mr witty
  • 00:04:38
    will this acquisition make United Health
  • 00:04:40
    even
  • 00:04:42
    bigger Senator thank you for your
  • 00:04:44
    question I I'd just like to also put on
  • 00:04:46
    the record that we as an organ I had a
  • 00:04:49
    very simple question will it make United
  • 00:04:51
    Health this giant this 11th largest
  • 00:04:54
    company in the entire world even
  • 00:04:57
    bigger as new organizations Jo the
  • 00:05:00
    organization I hope becomes better as
  • 00:05:02
    new Physicians for examp join better
  • 00:05:05
    we've already talked about your business
  • 00:05:07
    practices the question is bigger will it
  • 00:05:10
    make United Health bigger as as we grow
  • 00:05:13
    we become larger yes yeah okay so you
  • 00:05:15
    know United Health is using its own data
  • 00:05:18
    breach to snap up doctor's practices
  • 00:05:22
    that have been driven to the edge of
  • 00:05:24
    bankruptcy by that same data breach it's
  • 00:05:27
    no wonder that United Health told it
  • 00:05:29
    shareholders that this data breach would
  • 00:05:32
    have quote no material impact on the
  • 00:05:35
    company's finances United Health will
  • 00:05:38
    stop at nothing to grow bigger bigger
  • 00:05:41
    and bigger as we speak United Health is
  • 00:05:44
    trying to pick the bones of Stewart
  • 00:05:46
    healthc care in my home state of
  • 00:05:48
    Massachusetts which was ruined by
  • 00:05:50
    private equity and corporate greed it is
  • 00:05:53
    time for Regulators to say no to these
  • 00:05:55
    efforts to get bigger and to suck even
  • 00:05:58
    more Health dollar away from patients
  • 00:06:01
    and providers who need it for the sake
  • 00:06:03
    of our patients our doctors and nurses
  • 00:06:06
    and the American taxpayer it is time to
  • 00:06:08
    break up the United Health my colleague
  • 00:06:11
    has expired next
Tags
  • United Health
  • medicin
  • profit
  • monopol
  • upcoding
  • efterforskning
  • databrud
  • læger
  • Jackson
  • regulering