Whistleblower Partners attorneys represented physician whistleblower Dr. James M. Taylor in one of the suits that resulted in a $581 million settlement with Kaiser Permanente. Our client’s whistleblower complaint alleged Kaiser engaged in systemic and improper Medicare Advantage risk adjustment practices, including adding and retaining diagnosis codes not supported by patients’ medical records, leading to inflated Medicare reimbursements to Kaiser. The government joined Dr. Taylor’s suit in part, along with suits brought by other relators against Kaiser. The 2026 resolution is the largest False Claims Act settlement in over three years. It is also the largest FCA settlement under Medicare Part C and the largest settlement resolving allegations of risk adjustment fraud. Whistleblower Partners has represented several whistleblowers, including Dr. Taylor, in successful FCA matters alleging risk adjustment fraud.
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