United States Of America vs. Independent Health Association et al

Case Background

On April 11, 2012, the Plaintiff, the United States of America, filed a lawsuit in the United States District Court for the Western District of New York (Case number: 1:12cv299). The Honorable William M. Skretny presided over the case. This legal action was brought under the False Claims Act in response to allegations of Medicare fraud. The lawsuit accused the defendants of deliberately submitting false and inflated Medicare risk adjustment claims to the Centers for Medicare & Medicaid Services (CMS), thereby defrauding the government. The case sought to hold the defendants accountable for violating the False Claims Act and demanded penalties and damages for the fraudulent claim