Kaiser Permanente Affiliates Pay $556 Million

Affiliates of Kaiser Permanente, an integrated health care consortium, have agreed to pay $556 million to resolve allegations that they violated the False Claims Act by submitting invalid diagnosis codes for their Medicare Advantage plan enrollees in order to receive higher payments from the government. The United States alleged that Kaiser systematically pressured its physicians to alter medical records after patient visits to add diagnoses that the physicians had not considered or addressed at those visits. Read a story from STAT and a Department of Justice press release.

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