Exclusive: FBI is investigating an Oregon health care startup
Zoom, a health care startup based in Oregon, is on the brink of a meltdown. The FBI has issued a subpoena to Zoom, and numerous people have either quit or been laid off, according to interviews with several former Zoom employees.
The FBI is looking into allegations that Zoom retroactively falsified medical claims to avoid paying into an Affordable Care Act program called risk adjustment — in which health plans with healthy customers pay to help support insurers with sicker ones. Zoom declined to comment.
Why it matters: Zoom's alleged tampering of medical claims may have damaged other insurers that played by the rules — and it's sure to raise questions about whether other companies have done the same thing.