In the largest Medicare Advantage fraud settlement to date, Oakland, Calif.-based Kaiser Permanente agreed to pay $556 million to resolve allegations it violated the False Claims Act by submitting ...

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 ...

Federal prosecutors allege that between 2009 and 2018, Kaiser carried out a multi-state scheme to inflate risk scores through ...

45+ Medicare companies and brands analyzed by our team of experts. 30+ years of combined experience covering Medicare and personal finance. Governed by NerdWallet's strict guidelines for editorial ...

Five affiliates of Kaiser Permanente have agreed to pay $556 million to the Department of Justice to resolve allegations under the False Claims Act that they improperly boosted payments from the ...

Last week, people in Washington who get their Medicare Advantage coverage through Kaiser Permanente received a seemingly worrisome letter in the mail. “Your Medicare plan won’t be offered in 2026,” it ...

Federal officials have a plan that could curb billions of dollars in overpayments to Medicare Advantage plans. But will they ...

Tara Bannow covers hospitals, providers, and insurers. You can reach Tara on Signal at tarabannow.70. The Justice Department won its biggest Medicare Advantage fraud settlement yet on Wednesday, ...

Nearly 53 million prior authorization requests were sent to insurers in 2024, compared with nearly 50 million in the prior year, according to KFF. Almost 8% of those requests were partially or fully ...

The new KFF report found that payers either fully or partially denied 4.1 million prior authorization requests in 2024, or ...