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Health eSource September 2021

Vol. 18 No. 1  

Featured Articles


Medicare Advantage and False Claims Act Liability: The D.C. Circuit Weighs In on the Relationship (or Lack Thereof) Between Actuarial Equivalence and the Overpayment Rule

In a much anticipated decision, the D.C. Circuit has weighed in on the relationship between actuarial equivalence and the Overpayment Rule in a False Claims Act (FCA) case involving Medicare Advantage.1 Its August 13, 2021, unanimous decision...