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Risk Adjustment

The side of a building that reads Kaiser Permanente
Payers

Kaiser Permanente to pay $556M to settle MA fraud claims

The settlement, over allegations of fraudulent risk adjustment, is the highest to date for a Medicare Advantage False Claims Act case.
Dave Muoio Jan 14, 2026 11:30pm
The outside of UnitedHealth Groups headquarters

Senate report dings UnitedHealth's MA risk adjustment policies

Jan 12, 2026 4:50pm
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UHG outlines action plans in response to external audit reports

Dec 19, 2025 1:00pm
Medicare Advantage with wooden blocks alphabet letters and stethoscope on yellow background

Judge strikes down RADV rule in win for Medicare Advantage plans

Sep 26, 2025 1:06pm
Medicare Advantage stock image with pill

ACHP unveils plan to streamline MA risk adjustment

Sep 3, 2025 4:00pm
Hundred dollar bills with ACA

New CMS data suggest future ACA market turmoil

Aug 12, 2025 4:45pm

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