Partner Jaimie Nawaday
authored the Pratt’s Government Contracting Law Report
article “False Claims Act Watch: California Federal Judge Dismisses DOJ Complaint Alleging Medicare Advantage Fraud,” a look at the U.S. Department of Justice’s first ever intervention in a False Claims Act suit alleging Medicare Advantage fraud. On October 5, a California federal judge dismissed a complaint that several healthcare providers submitted knowingly flawed data to avoid negative payment adjustments and keep overpayments to which they were not entitled. The decision marked a high-profile setback for the DOJ. The article explains the background of the case — United States ex rel. Swoben v. Scan Health Plan, et al.
— the complaint, the government’s intervention and next steps.