Massachusetts Attorney General Andrea Joy Campbell is suing UnitedHealth Group’s insurance subsidiary, UnitedHealthcare, alleging the company intentionally made low-income older adults appear sicker than they were over the past decade to boost its bottom line.
UnitedHealthcare received at least $100 million more than it should have from the Massachusetts Medicaid program due to inflated payments stemming from fraudulent diagnoses, Campbell alleges. Pressure to increase revenue and profit in the Medicaid plan in the state led the company’s top Massachusetts executive to quit, according to…
Cyber fraud uses technology as the primary weapon. It is highly scalable and can be conducted from anywhere in the world.
- Phishing/Smishing/Vishing: Using deceptive emails (phishing), text messages (smishing), or phone calls (vishing) to trick victims into clicking malicious links or revealing sensitive data.
- Business Email Compromise (BEC): A high-value scam where a criminal impersonates a CEO or high-level executive via a “spoofed” email address to trick a staff member into making an urgent, unauthorized wire transfer.