August 31, 2021
Sutter Health has agreed to pay $60 million to put to rest a False Claims Act suit alleging that the California-based health services provider billed for unsupported diagnoses of Medicare Advantage beneficiaries, according to a settlement announced Monday.
January 22, 2021
False Claims Act recoveries were modest overall in 2020, but the relatively calm year seeded the clouds for a stormy 2021 by generating tremendous government spending on pandemic relief, a record number of new cases and a potentially game-changing decision in a closely watched area of Medicare fraud litigation.
August 28, 2019
A whistleblower suing hospital giant Sutter Health for allegedly getting rampant overpayments from Medicare Advantage urged a California federal judge to turn down the chain's efforts to snuff out her suit based on the U.S. government getting directly involved in the case.
June 17, 2019
The U.S. Department of Justice is clinging to a discredited False Claims Act theory that improperly imposes stricter billing standards in privately run Medicare Advantage than traditional government-run Medicare, California hospital chain Sutter Health said Friday.
December 11, 2018
The U.S. Department of Justice on Tuesday announced it has joined a False Claims Act suit accusing California-based Sutter Health, one of the nation's largest health care systems, of defrauding Medicare Advantage by exaggerating patient illnesses.