UnitedHealth Group released initial results from an independent audit of its business practices, committing to 23 action plans for improvement. The company aims to complete 65% of plans by the end of 2025 and all by March 2026. Critics argue insurer tactics hinder patient care access. CEO Steve Hemsley prioritizes transparency and high standards.

Independent consultancies reviewed UnitedHealthcare’s business policies and performance metrics, addressing Medicare billing practices. CEO Steve Hemsley aims for transparency and improvement, setting a new industry standard. The company faces Department of Justice investigations and scrutiny over business practices. Hemsley emphasizes the impact on patients and the health system.

FTI Consulting examined UnitedHealthcare’s risk assessment operations in Medicare Advantage programs and care services management. The Analysis Group assessed Optum Rx’s policies for prescription discounts, finding them robust but with room for improvement. Recommendations include enhancing discount administration and strengthening dispute resolution processes.

FTI Consulting found UnitedHealth outperformed peers in Medicaid and Medicare but identified areas for improvement. Slow decision-making, documentation issues, and regulatory audit findings need addressing. UnitedHealth plans to share findings on medical records review and evidence-based medical policy creation. Shares down over 35% due to rising medical costs and leadership changes.

UnitedHealth Group faced challenges in 2024, including a cyberattack and the murder of CEO Brian Thompson. The company suspended its 2025 forecast and grappled with probes into its Medicare Advantage business. CEO Steve Hemsley aims for transparency and improvement, addressing industry criticism and public trust concerns.

Read more at CNBC: UnitedHealth Group releases results of independent audit