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U.S. EX REL. ORMSBY v. SUTTER HEALTH

Case No. 15-cv-01062-LB.

444 F.Supp.3d 1010 (2020)

UNITED STATES of America EX REL. Kathy ORMSBY, Plaintiff, v. SUTTER HEALTH, et al., Defendants.

United States District Court, N.D. California, San Francisco Division.

Signed March 16, 2020.

Attorney(s) appearing for the Case

Olga Yevtukhova, Albert Thomas Morris, United States Department of Justice, Lyle Gruby, Washington, DC Benjamin Joseph Wolinsky, U.S. Attorney's Office Northern District of California, Kimberly Friday, U.S. Attorney's Office, Jeffrey Farley Keller, Kathleen R. Scanlan, Keller Grover LLP, Sarah Pascal Alexander, Constantine Cannon LLP, San Francisco, CA, Gordon Schnell Hamsa Mahendranathan, Constantine Cannon LLP, New York, NY, Mark Allen Kleiman, Pooja Rajaram, Santa Monica, CA, for Plaintiff.

Jason Masashi Ohta, Katherine Ann Lauer, Amy Elizabeth Hargreaves, Steven Mark Bauer, Latham & Watkins LLP, San Francisco, CA, Spencer Kohl Turnbull, Latham Watkins LLP, Los Angeles, CA, for Defendants.

ORDER DENYING DEFENDANTS' MOTIONS TO DISMISS

Re: ECF Nos. 66, 68, 81

TABLE OF CONTENTS

INTRODUCTION ... 1019

STATEMENT ... 1021

1. Medicare Advantage Generally ... 1021

2. The Government's Allegations Regarding Diagnosis Codes ... 1025

3...

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