News Brief: UnitedHealth Commits to Changes After Audit
Summary
UnitedHealth Group has released initial findings from an independent audit of its business practices, pledging significant improvements amid public and regulatory scrutiny. The company has adopted 23 action plans, with full implementation targeted by March 2026.
Key Points
- Audit Results Released: UnitedHealth published first results from an independent review of its Medicare Advantage, care services, and pharmacy benefit manager (Optum Rx) operations.
- Action Plans: 23 ongoing action plans have been adopted to implement recommended improvements. 65% to be complete by end of 2025, 100% by March 2026.
- Audit Findings: Auditors found policies “robust, rigorous and generally sound” but recommended enhancements in areas like authorization decision speed and dispute resolution processes.
- Context: This effort, initiated by new CEO Steve Hemsley, aims to rebuild trust as the company faces DOJ investigations, public backlash, and a falling stock price (down >35% this year).
- Future Reports: Additional findings on diagnosis code reviews and medical policy processes will be shared in Q1 and mid-2025, respectively.
新闻简报：联合健康集团在审计后承诺改进
摘要
联合健康集团发布了对其商业实践进行独立审计的初步结果，并承诺在公众和监管审查下进行重大改进。公司已采纳23项行动计划，目标在2026年3月前全部完成。
关键点
- 发布审计结果：联合健康发布了对其医疗保险优势计划、护理服务和药房福利管理机构（Optum Rx）运营进行独立审查的初步结果。
- 行动计划：已采纳23项持续行动计划以实施建议的改进。65%的行动将在2025年底前完成，100%在2026年3月前完成。
- 审计发现：审计机构认为政策”健全、严格且总体良好”，但建议在授权决策速度、争议解决流程等方面进行加强。
- 背景：此项由新任CEO史蒂夫·赫姆斯利推动的努力，旨在重建信任。公司目前正面临司法部调查、公众强烈反对以及股价下跌（今年跌幅超35%）。
- 后续报告：关于诊断代码审查和医疗政策制定流程的更多结果，将分别在2025年第一季度和年中公布。
Original Article Link: https://www.cnbc.com/2025/12/19/unitedhealth-group-results-independent-audit-investigation.html