Texas AG Probes UnitedHealth Over Alleged Healthcare Denials

Texas Attorney General Ken Paxton has launched an investigation into UnitedHealth Group for allegedly engaging in deceptive practices that have restricted access to necessary healthcare for Texans. Reports suggest UnitedHealth has employed unlawful tactics in administering health insurance benefits and making patient-care decisions. These include accusations that the company bribed nursing homes to delay hospitalizing patients in need of medical attention. In one instance, a Texas patient received approval for a procedure at RedBud Surgery Center in Austin, only to later have that approval rescinded, leaving them with a significant medical bill.

The investigation also examines UnitedHealth’s “coverage determinations,” which may constitute the corporate practice of medicine. This practice allegedly overrides physicians’ medical judgments and dictates patient care. By denying care that treating physicians deem medically necessary, UnitedHealth delays treatment, potentially harming patients and increasing the risk of late intervention.

Attorney General Paxton expressed concern over the reports, stating, “Alarming reports keep piling up about how United treats Texas consumers.” He emphasized that no Texan should be denied necessary care, subjected to lengthy appeals, or burdened with unexpected bills after trusting their insurer. Paxton’s office has issued Civil Investigative Demands to UnitedHealth to gather evidence of potential violations of the Deceptive Trade Practices Act and other Texas laws.