凯撒医疗集团将支付5.56亿美元以解决医疗保险优势计划欺诈指控。 Kaiser Permanente to pay $556M to settle Medicare Advantage fraud allegations.

Kaiser常设公司及其附属公司已同意支付5.56亿美元,用于解决对Medicare优势欺诈的指控,这是美国历史上最大的此类解决方案。 Kaiser Permanente and its affiliates have agreed to pay $556 million to settle allegations of Medicare Advantage fraud, marking the largest such settlement in U.S. history. 政府指控医疗服务提供者违反医疗保险规则, 将患者风险分数膨胀, 以获得较高的联邦付款。 The government accused the healthcare provider of inflating patient risk scores to receive higher federal payments, violating Medicare rules. 解决方案解决了举报人提出的诉讼要求,包括防止今后发生侵权行为的合规措施。 The settlement resolves claims from a whistleblower lawsuit and includes compliance measures to prevent future violations.