Dissent in qui tam complaint

Trial Notebook

By Steven P. Garmisa

Hoey & Farina

Posted October 19, 2021 10:54 AM

(This is part two of a two-part series. Part one was published on Monday.)Thomas Prose’s qui tam complaint against Molina Healthcare alleged the managed care organization made material misrepresentations to the State of Illinois when seeking reimbursement from the Medicaid program. A district judge tossed the pleading for failing to satisfy the rigorous requirements Federal Rule of Civil Procedure 9(b) provides for allegations of fraud. On appeal, Chief 7th Circuit Court of Appeals Judge Diane S. Sykes and Judge …

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