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$556 million False Claims Settlement Rattles Many in Healthcare

Monitor Mondays · 26 января 2026 г. · 30 мин

While many of you were enjoying the holidays, Kaiser Permanente was back in the news. This time, another whistleblower case which resulted in an amazing $556 million settlement to resolve allegations that the giant provider/payer fudged on its Medicare Advantage risk adjustment. Reporting the lead story during the next live edition of Monitor Mondays will be Liz Soltan, a New York-based senior associate at Whistleblower Partners. Soltan is a member of the firm's litigation team who represented Dr. James Taylor in his landmark False Claims Act (FCA) case against Kaiser Permanente which resolved allegations of Medicare Advantage risk adjustment fraud. Soltan also works on a major Medicare Advantage risk adjustment fraud case against UnitedHealth Group on behalf of whistleblower Benjamin Poehling. Broadcast segments will also include these instantly recognizable features:  Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.  The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.  Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.  Legislative Update: Adam Brenman, legislative affairs liaison for Zelis, will report on current healthcare legislation.