The citizen of Azerbaijan pleaded guilty in U.S. District Court in San Jose this week to three counts of health care fraud in connection with a scheme targeting Medicare Advantage programs.
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Kaiser Permanente knew that fraudulent Medicare Advantage practices were widespread and unlawful, according to the government, and ignored numerous red flags and internal warnings that it was violating Medicare rules, including concerns raised by its own physicians about false claims and audits by its own compliance office.
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