{"id":7730,"date":"2025-10-20T23:02:32","date_gmt":"2025-10-20T23:02:32","guid":{"rendered":"https:\/\/mailitics.com\/index.php\/2025\/10\/20\/kaiser-permanente-medicare-advantage-fraud-settlement-doj\/"},"modified":"2025-10-20T23:02:32","modified_gmt":"2025-10-20T23:02:32","slug":"kaiser-permanente-medicare-advantage-fraud-settlement-doj","status":"publish","type":"post","link":"https:\/\/mailitics.com\/index.php\/2025\/10\/20\/kaiser-permanente-medicare-advantage-fraud-settlement-doj\/","title":{"rendered":"STAT+: Kaiser Permanente, DOJ nearing resolution in $1 billion Medicare fraud case"},"content":{"rendered":"<p>    STAT+: Kaiser Permanente, DOJ nearing resolution in $1 billion Medicare fraud case<br \/>\n \t<BR><br \/>\n<BR><\/BR><br \/>\n    <!-- no image --><br \/>\n \t<BR><br \/>\n<BR><\/BR><\/p>\n<div>\n<p>The Justice Department and Kaiser Permanente are nearing a deal in their behind-the-scenes negotiations over the government\u2019s claim that the California health care giant bilked Medicare out of $1 billion.\u00a0<\/p>\n<p>The federal judge overseeing the DOJ\u2019s long-running case against Kaiser on Friday <a href=\"https:\/\/www.documentcloud.org\/documents\/26190727-judge-order-kaiser-doj\/\">granted a 90-day halt<\/a> in proceedings while the two parties continue their discussions. In requesting the stay, lawyers for both sides said they had made \u201csubstantial progress in reaching an agreement to fully resolve\u201d the three outstanding cases.\u00a0<\/p>\n<p>The government\u2019s <a href=\"https:\/\/www.justice.gov\/archives\/opa\/pr\/government-intervenes-false-claims-act-lawsuits-against-kaiser-permanente-affiliates\">lawsuit against Kaiser<\/a>, filed in 2021, consolidated six whistleblower lawsuits against the organization. Three of them have since been dismissed because they were deemed to be too similar to the others. In the lawsuits, former employees say Kaiser submitted inaccurate diagnosis codes for its Medicare Advantage members in order to receive more money from the government for their care.\u00a0<\/p>\n<p><a href=\"https:\/\/www.statnews.com\/2025\/10\/20\/kaiser-permanente-medicare-advantage-fraud-settlement-doj\/?utm_campaign=rss\">Continue to STAT+ to read the full story\u2026<\/a><\/p>\n<\/div>\n<p> \t<BR><br \/>\n <BR><\/BR><br \/>\n    Tara Bannow<br \/>\n \t<BR><br \/>\n<BR><\/BR><br \/>\n<a href=\"https:\/\/www.statnews.com\/2025\/10\/20\/kaiser-permanente-medicare-advantage-fraud-settlement-doj\/?utm_campaign=rss\">Go to statnews<\/a><br \/>\n \t<BR><br \/>\n <BR><\/BR><\/p>\n","protected":false},"excerpt":{"rendered":"<p>STAT+: Kaiser Permanente, DOJ nearing resolution in $1 billion Medicare fraud case The Justice Department and Kaiser Permanente are nearing a deal in their behind-the-scenes negotiations over the government\u2019s claim that the California health care giant bilked Medicare out of $1 billion.\u00a0 The federal judge overseeing the DOJ\u2019s long-running case against Kaiser on Friday granted [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[58,2157,2213,153,2266,2144,2152],"tags":[2150],"class_list":["post-7730","post","type-post","status-publish","format-standard","hentry","category-business","category-cms","category-insurance","category-legal","category-medicare-advantage","category-politics","category-stat","tag-statnews"],"_links":{"self":[{"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/posts\/7730"}],"collection":[{"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/comments?post=7730"}],"version-history":[{"count":0,"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/posts\/7730\/revisions"}],"wp:attachment":[{"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/media?parent=7730"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/categories?post=7730"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/tags?post=7730"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}