this post was submitted on 13 Jan 2026

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UnitedHealth reduced hospitalizations for nursing home seniors. Now it faces wrongful death claims (www.theguardian.com)

submitted 2 months ago by return2ozma@lemmy.world to c/news@lemmy.world

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[–] null@piefed.nullspace.lol -2 points 2 months ago (1 children)

Not in the legal sense.

[–] SpaceNoodle@lemmy.world 3 points 2 months ago (1 children)

It's not legal, it's just set up so it's nearly impossible to prove.

[–] null@piefed.nullspace.lol -2 points 2 months ago (1 children)

Source?

[–] SpaceNoodle@lemmy.world 4 points 2 months ago (1 children)

You want sources for malpractice, practicing medicine without a license, and breach of contract?

[–] null@piefed.nullspace.lol -1 points 2 months ago* (last edited 2 months ago) (1 children)

No, for denying, defending, or delaying claims being inherently fraudulent acts, under the law.

I'm just curious if you even have any though. It's okay if you don't, we can just grant you that for the sake of the discussion and move on to the actual question:

How does that type of fraud change the math for* revenue with respect to premiums premiums vs healthcare spend?

[–] SpaceNoodle@lemmy.world 2 points 2 months ago (1 children)

It doesn't, it's just fraud. Go ahead and look up the relevant laws for the illegal actions I listed.

They use those tactics to avoid shelling out money that they're supposed to.

I can only assume that you're just being obtuse at this point.

[–] null@piefed.nullspace.lol -1 points 2 months ago

They use those tactics to avoid shelling out money that they’re supposed to.

But how?

a = Premiums
b = Healthcare spend
c = Rebates
d = Revenue

b + c = (a x 0.8)

d = a - (b + c)
d = a - (a x 0.8)
d = a x 0.2

Therefore, no matter how much you drop b, d is still always going to be 20% of a.

Where does the extra amount in d come from?