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U.S. EX REL. SILINGO v. WELLPOINT, INC.

No. 16-56400.

895 F.3d 619 (2018)

UNITED STATES EX REL. Anita SILINGO, Plaintiff-Appellant, v. WELLPOINT, INC., an Indiana corporation; Anthem Blue Cross, business entity, form unknown; Health Net, Inc.; Health Net of California, Inc., a California corporation; Health Net Life Insurance Company, a California corporation; Visiting Nurse Service Choice; Molina Healthcare, Inc., a Delaware corporation; Molina Healthcare of California, a California corporation; Molina Healthcare of California Partner Plan, Inc., a California corporation; Alameda Alliance for Health, a business organization, form unknown; Anthem Blue Cross Life and Health Insurance Company, a California corporation; Blue Cross of California, a California corporation, Defendants-Appellees.

United States Court of Appeals, Ninth Circuit.

Filed July 9, 2018.

Attorney(s) appearing for the Case

Abram Jay Zinberg (argued), The Zinberg Law Firm A.P.C., Huntington Beach, California; William K. Hanagami, The Hanagami Law Firm A.P.C., Woodland Hills, California; for Plaintiff-Appellant.

David Jeffrey Leviss (argued) and Amanda M. Santella, O'Melveny & Myers LLP, Washington, D.C.; Elizabeth M. Bock, Sabrina Strong, and David Deaton, O'Melveny & Myers LLP, Los Angeles, California; Poopak Nourafchan and Michael M. Maddigan, Hogan Lovells LLP, Los Angeles, California; David J. Schindler, Latham & Watkins LLP, Los Angeles, California; Anne W. Robinson, Latham & Watkins LLP, Washington, D.C.; Paul C. Burkholder and David Jacobs, Epstein Becker & Green PC, Los Angeles, California; Pamela A. Stone and Michael J. Daponde, Daponde Szabo Rowe PC, Sacramento, California; for Defendants-Appellees.

Before: Ronald M. Gould and Mary H. Murguia, Circuit Judges, and Jack Zouhary, District Judge.

OPINION

Qui tam relator Anita Silingo appeals the dismissal of her False Claims Act suit against several Medicare Advantage organizations. We reverse in part, affirm in part, and remand.

I

Medicare Advantage is a modern adaptation of the momentous 1960s-era program. Traditional Medicare uses...

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