{"id":88043,"date":"2025-10-21T04:25:12","date_gmt":"2025-10-21T04:25:12","guid":{"rendered":"https:\/\/www.newsbeep.com\/il\/88043\/"},"modified":"2025-10-21T04:25:12","modified_gmt":"2025-10-21T04:25:12","slug":"kaiser-nears-medicare-advantage-fraud-settlement-with-doj","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/il\/88043\/","title":{"rendered":"Kaiser nears Medicare Advantage fraud settlement with DOJ"},"content":{"rendered":"<p class=\"author-bio\">Tara Bannow covers hospitals, providers, and insurers. You can reach Tara on Signal at tarabannow.70.<\/p>\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\/\" target=\"_blank\" rel=\"noopener nofollow\">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\" target=\"_blank\" rel=\"noopener nofollow\">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 class=\"restricted-text\">STAT+ Exclusive Story<\/p>\n<p class=\"restricted-login\">Already have an account? <a href=\"https:\/\/www.statnews.com\/login\/\" data-stat-login=\"\" data-stat-paywall-cta=\"breaker login cta\" rel=\"nofollow noopener\" target=\"_blank\">Log in<\/a><\/p>\n<p>\t\t\t<img decoding=\"async\" class=\"restricted-content-breaker-bg\" src=\"https:\/\/www.newsbeep.com\/il\/wp-content\/uploads\/2025\/09\/stat-plus-breaker-bg.png\" alt=\"STAT+\"\/><\/p>\n<p>\t\t\t\t\t<a href=\"https:\/\/www.statnews.com\/stat-plus\/\" rel=\"nofollow noopener\" target=\"_blank\"><br \/>\n\t\t\t\t\t\t<img decoding=\"async\" class=\"stat-plus-logo\" src=\"https:\/\/www.statnews.com\/wp-content\/themes\/stat\/images\/stat-plus-logo-white.svg\" alt=\"STAT+\"\/><br \/>\n\t\t\t\t\t<\/a><\/p>\n<p>\t\t\t\tThis article is exclusive to STAT+ subscribers<br \/>\n\t\t\t\tUnlock this article \u2014 plus daily market-moving biopharma analysis \u2014 by subscribing to STAT+.<\/p>\n<p class=\"restricted-content-breaker-wrapper-cta mobile\">Already have an account? <a href=\"https:\/\/www.statnews.com\/login\/\" data-stat-login=\"\" data-stat-paywall-cta=\"breaker login cta mobile\" rel=\"nofollow noopener\" target=\"_blank\">Log in<\/a><\/p>\n<p>\t\t\t\t\t\tIndividual plans<\/p>\n<p>\t\t\t\t\t\tGroup plans<\/p>\n<p>\t\t\t\t<a href=\"https:\/\/www.statnews.com\/stat-plus\/\" class=\"stat-button view-all\" data-stat-paywall-cta=\"breaker view all plans\" aria-label=\"View All Plans\" rel=\"nofollow noopener\" target=\"_blank\">View All Plans<\/a><\/p>\n<p class=\"restricted-content-text\">\n\t\t\t\t\t\tTo read the rest of this story subscribe to STAT+.\t\t\t\t\t<\/p>\n<p>\t\t\t\t\t<a href=\"https:\/\/www.statnews.com\/stat-plus\/\" class=\"stat-button restricted-button\" data-stat-paywall-cta=\"breaker subscribe cta 1\" rel=\"nofollow noopener\" target=\"_blank\">Subscribe<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Tara Bannow covers hospitals, providers, and insurers. You can reach Tara on Signal at tarabannow.70. The Justice Department&hellip;\n","protected":false},"author":2,"featured_media":88044,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[40836,163,521,85,46,261,6943,15830],"class_list":["post-88043","post","type-post","status-publish","format-standard","has-post-thumbnail","category-healthcare","tag-cms","tag-health","tag-healthcare","tag-il","tag-israel","tag-legal","tag-medicare-advantage","tag-stat"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/88043","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/comments?post=88043"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/88043\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media\/88044"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media?parent=88043"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/categories?post=88043"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/tags?post=88043"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}