11th Circuit Affirms Ruling Tossing FCA Post-Settlement Medical Expenses Suit

Mealey's ( May 28, 2026, 2:16 PM EDT) -- ATLANTA — The 11th Circuit U.S. Court of Appeals on May 27 affirmed a lower court ruling that dismissed a couple’s suit under the False Claims Act (FCA) and the Medicare Secondary Payer Act (MSPA) alleging that insurers caused the man’s healthcare providers to present false claims to the Centers for Medicare and Medicaid Services (CMS) and that by hiding purported responsibility as primary payers, the insurers forced the couple to reimburse CMS for post-settlement medical care, finding that the insurers were not responsible to reimburse Medicare for post-settlement expenses....