Dr. Maxwell Ollivant and Anonymous

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When two medical providers witnessed one of the nation’s largest healthcare providers delay and outright deny critical care to vulnerable nursing home patients, they stepped up to save lives. Our clients, both former UnitedHealthcare nurse practitioners, revealed a disturbing pattern of corporate greed and dangerous profiteering practices inside of America’s nursing homes. According to their disclosures, Optum, a subsidiary of UnitedHealthcare, systematically exaggerates elderly patients’ medical conditions to inflate Medicare payments, defrauding the American taxpayer. Then, in adherence to the company’s “playbook”, UnitedHealthcare pressures providers into delaying or denying critical hospital care, even when the patient’s life is on the line. In some cases, our clients were pushed to coerce elderly patients into signing “Do Not Resuscitate” orders to justify denial of care. If our clients did send a patient to the hospital, their compensation was docked, even if doing so saved the patient’s life.

With Whistleblower Aid’s support, our brave clients brought the receipts on UnitedHealthcare’s profiteering at their patients expense and were featured in the Guardian’s expose “Too Big to Care” series. In response, the company sued the Guardian to try to stop subsequent installments in the series from being published. We helped our clients disclose their experiences to the SEC and FTC, the Washington State Attorney General, and Congress. As a result, lawmakers from both sides of the aisle are calling on UnitedHealthcare to be investigated for deceptive practices based on our clients’ disclosures Sen. Ron Wyden going so far as to say that “for-profit insurance companies are failing Americans.”