How Trump Could Line the Pockets of Medicare Advantage Giant

Responding to UnitedHealth Group's third quarter results this week, People's Action highlighted how the insurance giant would benefit from Project 2025, the right-wing policy agenda that critics fear will be implemented if former Republican President Donald Trump returns to the White House.

"The underlying businesses, which generated more than $100 billion in revenue in the quarter, helped overcome $475 million in total cyberattack impacts in the quarter," Forbesnoted Tuesday, citing the company earnings report. "Net income was $6.06 billion."

In a series of social media posts about those figures, People's Action said: "What they didn't mention? Much of that is public money. Funds meant to care for seniors and people with disabilities are lining the pockets of their executives and Wall Street investors. Money that instead UnitedHealth Group executives use to build mansions or send to Wall Street."

"UnitedHealth would be one of the largest financial beneficiaries of Project 2025."

People's Action also linked to its new report laying out how the company and its subsidiary UnitedHealthcare would likely benefit from the Heritage Foundation-led Project 2025, an initiative that Trump has tried to disavow even though its policy agenda's authors include at least 140 people who served in his first administration.

Specifically, the Tuesday report focuses on Medicare Advantage, an alternative to the government-run healthcare program that is administered by private companies. As Common Dreams has detailed, Project 2025 proposes making the privatized plans the default option for enrollees.

"UnitedHealth would be one of the largest financial beneficiaries of Project 2025, since it is the largest private health insurance corporation in America, the fourth-largest company in the country, and the largest writer of privatized Medicare Advantage plans, with 7.8 million people insured through a UnitedHealthcare Medicare Advantage plan," People's Action said.

The group pointed out that "UnitedHealthcare's revenue from Medicare Advantage, an estimated $137 billion, could be expected to double to $274 billion annually as a result of Project 2025."

"Because of UnitedHealth's massive scale, the harm it causes through its denials of care is unprecedented—whether through prior authorization denials, claim denials, and inadequate networks that prevent beneficiaries from receiving care or increase the financial strain of receiving care," the report warns. "UnitedHealth would be empowered by Trump's Project 2025 to harm more Americans than virtually any other private corporation, other than fossil fuel companies, that benefits from his plan."

As People's Action explained:

UnitedHealthcare would be expected to cover 15.6 million people via its Medicare Advantage plans as the eventual result of Project 2025's passage with a Trump victory. The Office of the Inspector General of the Department of Health and Human Services found that Medicare Advantage organizations (of which UnitedHealthcare is the largest) improperly denied care (prior-authorization denial) 13% of the time and denied payment for care improperly 18% of the time. Because this is a denial rate per procedure, not per person, an estimated 33% of people covered by Medicare Advantage experience a denial by their privatized insurer annually. With Project 2025's implementation that would mean 5.2 million people would be denied care by UnitedHealthcare alone. This figure is well above traditional Medicare denial rates due to inappropriate denials and denials outside the scope of traditional Medicare rules.

On social media, People's Action shared stories of actual patients, emphasizing that denials impact "people like Jenn Coffey, who constantly battles UnitedHealthcare for prior authorizations for the infusions that keep her alive after multiple fights with breast cancer."

"Robin Ginkel, a teacher who needs back surgery to be able to work again, faces the same fight for care," the organization said.

"We can stop this. Fight back against the full privatization of Medicare by corporations like UnitedHealthcare and UnitedHealth Group," People's Action urged. "Join us to deep canvass and protect care for ALL."

Underscoring Medicare defenders' warnings about Trump—who is facing Democratic Vice President Kamala Harris in the November 5 election, for which early voting is already underway—Mother Jonesreported Wednesday that a pro-Trump super political action committee sent out an alarming mailer to older voters in Arizona saying that Medicare had been canceled.

According to David Corn, the magazine's Washington, D.C. bureau chief:

It had a big red stamp that proclaimed, "Medicare Cancellation Notice." Also emblazoned on its front was this: "Warning: Rates are going up and plans are being canceled. Details enclosed." Its return address was the "Department of Medicare Cancellation, Kamala Harris Administration."

That return address should have been a tip-off that this was not an official notification—along with a scrawled add-on in cursive: "I hope you can afford to lose your insurance! —Kamala Harris XOXO."

It's hard to know whether any recipient saw this and received a shock, fearing their Medicare was being cut off. But the group that sent out this official-looking piece of campaign literature, Make America Great Again, Inc., a pro-Trump super PAC, was spreading false and misleading information about Medicare and about Harris.

Sharing the reporting on social media, Corn said that it was "rather odious for oligarchs to be scaring folks."