- Massachusetts sued UnitedHealthcare's community plan, accusing it of defrauding MassHealth of more than $100 million by upcoding older patients in its Senior Care Options plan.
- The suit alleges false diagnoses for patients 65+ from 2015–2025 to secure higher payments and seeks repayment (plus triple damages).
- UnitedHealth calls the complaint "meritless" — the case could draw broader scrutiny of Medicaid/managed-care billing.
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