Kaiser Permanente Pays $556 Million to Settle Allegations of Medicare Fraud

Kaiser Permanente Pays $556 Million to Settle Allegations of Medicare Fraud

Kaiser allegedly pressured doctors to add false diagnoses to patient records, boosting federal Medicare payments by about $1 billion over nine years.

$556M to be Paid by Kaiser Permanente Affiliates in Alleged Medicare Fraud Lawsuit

Kaiser Permanente affiliates will pay $556 million to settle a lawsuit that alleged the health care giant committed Medicare fraud and pressured doctors to list incorrect diagnoses on medical records to receive higher reimbursements, federal prosecutors said. The deal announced Wednesday came more than four years after the U.S. Department of Justice filed the legal claim in San Francisco that consolidated allegations made in six whistleblower co…

Kaiser Permanente To Pay $556 Million in Record Medicare Advantage Fraud Settlement

This article by Fred Schulte first appeared in KFF Health News, republished with permission. Fred Schulte, KFF Health News January 15, 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 accus…