https://www.statnews.com/2026/01/14/kaiser-permanente-doj-settle-major-medicare-advantage-fraud-case/
Jan 15, 2026 - Justice Department reached a $556 million deal with Kaiser over claims the insurer artificially beefed up its private Medicare members’ illnesses.
kaiser permanentemedicare advantagedojsettlefraud
https://www.statnews.com/2025/10/20/kaiser-permanente-medicare-advantage-fraud-settlement-doj/
Oct 20, 2025 - The DOJ says that Kaiser systematically altered patients’ medical records to make them appear sicker and boost its revenue.
medicare advantagekaiserfraudsettlementdoj
https://energycommerce.house.gov/events/oversight-and-investigations-common-schemes-real-harm-examining-fraud-in-medicare-and-medicaid
The Committee on Energy and Commerce is the oldest standing legislative committee in the U.S. House of Representatives and is vested with the broadest...
oversightinvestigationscommonschemesreal
https://smpresource.org/medicare-fraud/
Aug 1, 2023 - Senior Medicare Patrols (SMPs) empower and assist Medicare beneficiaries, their families, and caregivers to prevent, detect, and report health care fraud,...
medicare fraudseniorpatrol
https://kffhealthnews.org/news/article/medicare-advantage-record-fraud-settlement-kaiser-permanente-556-million/
Jan 16, 2026 - Kaiser Permanente agrees to pay $556 million to settle allegations of billing the government for conditions patients didn’t have.
kaiser permanentemedicare advantagepaymillionrecord
https://townhall.com/tipsheet/scott-mcclallen/2025/11/26/michigan-pharmacist-sentenced-to-46-months-for-4m-medicare-fraud-scheme-n2667055
Nov 26, 2025 - Michigan pharmacist sentenced to 46 months for $4M Medicare fraud scheme.
medicare fraudmichiganpharmacistsentencedmonths