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What the Fourth Circuit's Recent Rulings Mean for Health Care Providers, Insurers, and the False Claims Act

  • July 08, 2020

Matt Wolfe and La-Deidre Matthews wrote a column on reviewing recent, important rulings for businesses at the U.S. Court of Appeals for the Fourth Circuit, which covers the Carolinas, the Virginias, and Maryland. 

"The Fourth Circuit issued two opinions of interest to health care providers, False Claims Act (FCA) litigators, insurance carriers, and other appellate court observers," they wrote. "The first case, U.S. ex rel Complin v. North Carolina Baptist Hospital, shined additional light on a requirement under the FCA that a party 'knowingly' presents a false claim. The second case, Affinity Living Group, LLC v. StarStone Specialty Insurance Co., provided clarity on whether certain insurance policies can help providers cover the costs of FCA litigation."

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