Kaiser Permanente and the US Department of Justice (DOJ) reach a $556 million Medicare Advantage fraud settlement, the largest of its kind.[1][2] The DOJ alleges that Kaiser systematically edited the medical records of Medicare Advantage patients to make them sicker and increase revenue.[1][2][3] According to the DOJ, Kaiser defrauded Medicare of approximately $1 billion in this way.[1][2][3] The lawsuit was filed in 2021 and consolidated six whistleblower complaints from former employees.[2] They accused Kaiser of filing inaccurate diagnosis codes to get more money from the government to care for Medicare Advantage members.[2] A federal judge recently granted a 90-day stay to allow the parties to complete negotiations.[2] Three of the six complaints were previously dismissed for being too similar to others.[2]