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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsKaiser Permanente to pay $556 million in record Medicare Advantage fraud settlement
https://medicalxpress.com/news/2026-01-kaiser-permanente-pay-million-medicare.htmlIn 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 program that must serve patients' needs, not corporate profits," said U.S. Attorney Craig Missakian for the Northern District of California, in announcing the settlement.
"Fraud on Medicare costs the public billions annually, so when a health plan knowingly submits false information to obtain higher payments, everyone--from beneficiaries to taxpayers--loses," he said.
. . .
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 program that must serve patients' needs, not corporate profits," said U.S. Attorney Craig Missakian for the Northern District of California, in announcing the settlement.
"Fraud on Medicare costs the public billions annually, so when a health plan knowingly submits false information to obtain higher payments, everyone--from beneficiaries to taxpayers--loses," he said.
. . .
Then there's Rick Scott (Republicon Senator, natch) who broke the law, profited, and is still happily screwing this country.
Rick Scott tries to rewrite history on $1.7 billion Medicare fraud controversy
https://www.miamiherald.com/news/politics-government/article288431251.html
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Kaiser Permanente to pay $556 million in record Medicare Advantage fraud settlement (Original Post)
erronis
Monday
OP
pfitz59
(12,395 posts)1. Medicare Advantage is a giant fraud
the entire program needs to be shit canned
underpants
(195,221 posts)3. Dayum. That's almost Fox level money
AZJonnie
(2,967 posts)4. I suppose no HUMAN is going to jail for massive fraud, since corporations are sentient entities that commit crimes
all on their own, and the people who are ostensibly running them just carry out the orders the corporation entity decides
erronis
(22,832 posts)5. As it has been. Roberts and his ilk just made it worse.
The only C-suite types that pay the price are the ones that have fallen afoul of the more powerful ones.
The Unspoken Code of the Corporate Mobsters
AZJonnie
(2,967 posts)6. IIRC if you go back to the days of the Founding, these entities were looked up with great suspicion
For most of the Founders saw exactly how their rise could contribute to the downfall of the democratic republic they were creating, and looked askance. For good reason, as we've since seen.