Insurer accused of making patients appear sicker to inflate payments.
filing a complaint in Suffolk Superior Court accusing health insurer United Healthcare of submitting more than $100 million in fraudulent claims to MassHealth.
The allegations, if proven, represent a huge breach of public trust by the insurer — and highlight one reason why many people are skeptical of both our country’s health care system and its social safety net.
As Campbell told reporters in a press call, when a company commits Medicaid fraud, “that erodes public trust in the institutions designed to help those in need.” And when people lose trust in health care, they’re less likely to…
These frauds exploit emotional vulnerability and trust rather than technical weaknesses.
- Romance Scams: Scammers build long-term online relationships with victims, eventually fabricating a “crisis” (medical emergency, legal trouble, or travel costs) that requires the victim to send money.
- Pig Butchering: A hybrid scam where the criminal builds a romantic or platonic relationship to eventually “tutor” the victim in a fraudulent cryptocurrency investment.