Op risk data: Kaiser will helm half-billion-dollar payout for faking illness

- By ORX News
- 12 Feb 2026

In January’s largest loss, insurance affiliates of California-based healthcare consortium Kaiser Permanente agreed to pay $556.8 million to settle claims it had defrauded the US Medicare system by submitting invalid medical diagnoses. Kaiser’s health plans cover medical costs for Medicare Advantage (MA) plan members, and are reimbursed by the US Centers for Medicare and Medicaid Services. The

Only users who have a paid subscription or are part of a corporate subscription are able to print or copy content.

To access these options, along with all other subscription benefits, please contact info@risk.net or view our subscription options here: http://subscriptions.risk.net/subscribe

You are currently unable to print this content. Please contact info@risk.net to find out more.

You are currently unable to copy this content. Please contact info@risk.net to find out more.

As outlined in our terms and conditions, https://www.infopro-digital.com/terms-and-conditions/subscriptions/ (point 2.4), printing is limited to a single copy.

If you would like to purchase additional rights please email info@risk.net

You may share this content using our article tools. As outlined in our terms and conditions, https://www.infopro-digital.com/terms-and-conditions/subscriptions/ (clause 2.4), an Authorised User may only make one copy of the materials for their own personal use. You must also comply with the restrictions in clause 2.5.

If you would like to purchase additional rights please email info@risk.net