STAT+: Private Medicare plans erect barriers to rehab care in pursuit of profit, federal investigators find
Federal investigation finds Medicare Advantage insurers block rehab care for older adults, only to reverse denials on appeal.
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Mike Reddy for STAT STAT PlusExclusive Private Medicare plans erect barriers to rehab care in pursuit of profit, federal investigators find UnitedHealth Group’s NaviHealth had high denial rates for post-acute care By Casey Ross and Bob HermanJune 11, 2026 Ross and Herman have been investigating denials of rehabilitative care by large health insurers for three years. They previously published an investigation into insurers’ reliance on NaviHealth to scrutinize these requests, which was a finalist for a Pulitzer Prize. Casey Ross[email protected]Casey’s reporting examines the use of artificial intelligence by providers and insurers.Bob Herman[email protected]Bob covers the money in health care, focusing on health insurance and hospitals.
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