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U.S. Department of Justice

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
CVS Health store front

CVS settles insulin pen fraud allegations with $37.8M payment

Dec 2, 2025 3:00pm
Human hands connecting puzzles

Shifting legal challenges have healthcare leaders' attention

Oct 28, 2025 1:36pm
Lawsuit over pharma drugs

Drug price negotiation program sidesteps latest legal obstacle

Aug 7, 2025 3:00pm
Prior auth and a clinician

New CMMI model adds prior auth for some services in Medicare

Jun 30, 2025 3:00pm
Trump pictured May 6 2025

Trump order aims to revive "most favored nation" policy

May 12, 2025 9:30am

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