Osinek et al v. Kaiser Permanente

  1. January 27, 2026

    Long Road For Kaiser Whistleblowers Ends In Historic Payout

    The whistleblowers behind a massive Medicare Advantage "upcoding" case spent years in isolation before a historic settlement was finally reached.

  2. January 14, 2026

    Kaiser Entities Settle Medicare Fraud Claims For $556M

    Five Kaiser Permanente affiliates agreed to a $556 million settlement resolving allegations they defrauded the government by submitting invalid medical diagnoses for Medicare Advantage Plan enrollees, the U.S. Department of Justice announced Wednesday.

  3. June 16, 2023

    Kaiser Permanente Gets Tax Credit Claims Cut Permanently

    A federal judge in California has rejected an argument that health care giant Kaiser Permanente should be held liable for allegedly ripping off an Affordable Care Act program through a "complicated" theory involving misissued tax credits, as that's not something the False Claims Act is supposed to deal with.  

  4. January 19, 2022

    Kaiser Says First-To-File Bar Breaks $1B Medicare Fraud Suits

    Kaiser Permanente asked a California federal judge Tuesday to throw out at least three of the six qui tam suits alleging that it used fake diagnoses to defraud Medicare Advantage of $1 billion in treatment reimbursements, arguing it can only be made to face one qui tam action for each alleged fraud.

  5. October 26, 2021

    DOJ Accuses Kaiser Of $1B Medicare Fraud, Fake Diagnoses

    Kaiser Permanente defrauded Medicare out of about $1 billion by pressuring physicians to bolster patients' medical records with bogus diagnoses, the U.S. Department of Justice alleged in California federal court Monday, throwing its weight behind a half-dozen False Claims Act suits brought by whistleblowers over the past decade.

  6. July 30, 2021

    Feds Join Medicare Advantage FCA Suits Against Health Giant

    The federal government said on Friday that it has officially joined in on a half-dozen lawsuits claiming various Kaiser Permanente entities defrauded Medicare Advantage by exaggerating patient illnesses.