Supreme Court Prepares to Hear Case With Major Fraud Liability Implications for Insurers

On April 18, the U.S. Supreme Court will hear oral arguments in a case that has major implications for government contractors, including health insurers, which are generally subject to a host of complicated regulations and can face federal fraud allegations for knowingly violating those rules.

Major insurer trade group AHIP recently teamed up with the American Hospital Association (AHA) to file an amicus brief arguing that a ruling in favor of the government’s position in two consolidated cases — U.S. ex rel. Schutte v. SuperValu Inc. and U.S. ex rel. Proctor v. Safeway, Inc. — “would create a Wild West of ramifications for any well-intentioned and legitimate hospital or insurance provider that seeks to serve Americans in partnership with the government.” 

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Leslie Small

Leslie Small

Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.

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