$90
Healthcare Fraud
Case results reflect publicly available information reported by the listed law firms. They are not results obtained by ThatCarHitMe.com. Every case is unique and must be evaluated on its own facts. Prior results do not guarantee a similar outcome. The results shown are not necessarily representative of all results obtained by these firms. No representation is made that the quality of legal services to be performed is greater than the quality of legal services performed by other lawyers.
Case Details
Sutter Health, a California-based hospital operator, agreed to a $90 million settlement following a 2015 whistleblower lawsuit. The lawsuit alleged that Sutter Health overcharged the federal government by knowingly submitting inaccurate information about the health status of Medicare Advantage beneficiaries, inflating diagnoses and insurance codes.
Additional Notes
Settlement resulted from a 2015 whistleblower lawsuit by former employee Kathy Ormsby. Second-largest Medicare Advantage fraud settlement ever and largest under the False Claims Act for the program. Settlement likely in 2022 or late 2021.
Represented By