Kaiser Permanente to pay $556 million in record Medicare Advantage fraud settlement
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KFF Health News Jan 16 2026 In the largest Medicare Advantage fraud settlement to date, Kaiser Permanente has agreed to pay $556 million to settle Justice Department allegations that it billed the government for medical conditions patients didn't have. The settlement, announced Jan. 14, resolves whistleblower lawsuits that accused the giant health insurer of mounting a years-long scheme in which it overstated how sick patients were to illegally boost revenues. "Medicare Advantage is a vital
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