Major California hospital system Sutter Health is settling whistleblower allegations of risk adjustment fraud for $90 million, the largest False Claims Act settlement against a hospital system for alleged fraud in the Medicare Advantage program, Healthcare Dive reports. Sutter paid out $30 million in April 2019, but under the follow-on agreement, the Sacramento-based nonprofit will pay an additional $60 million to resolve the allegations. Sutter did not admit fault in the proceedings.
In a separate matter, San Francisco Superior Court Judge Anne-Christine Massullo granted final approval of Sutter Health’s $575 million antitrust settlement Aug. 27. Read more.
