TENET HEALTHSYSTEM GB v. CARE IMPROVEMENT PLUS

No. 16-11176.

875 F.3d 584 (2017)

TENET HEALTHSYSTEM GB, INC., d.b.a. Atlanta Medical Center d.b.a. Atlanta Medical Center South Campus, North Fulton Medical Center, Inc., d.b.a. North Fulton Regional Hospital, Tenet Healthsystem Spalding, Inc., d.b.a. Spalding Regional Medical Center, Tenet Healthsystem SGH, Inc., d.b.a. Sylvan Grove Hospital, Coastal Carolina Medical Center, Inc., d.b.a. Coastal Carolina Hospital, East Cooper Community Hospital Inc., d.b.a. East Cooper Medical Center, Hilton Head Health System, LP., d.b.a. Hilton Head Hospital, Amisub of South Carolina, Inc., d.b.a. Piedmont Medical Center, Tenet Healthsystem DI, Inc., d.b.a. Des Peres Hospital, Tenet Healthsystem SL, Inc., d.b.a. Saint Louis University Hospital, Amisub (SFH), Inc., d.b.a. Saint Francis Hospital, Plaintiffs-Appellants, v. CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY, Defendant-Appellee.

United States Court of Appeals, Eleventh Circuit.

August 18, 2017.


Attorney(s) appearing for the Case

Justin C. Fineberg , Alan D. Lash , Greg Jason Weintraub , Lorelei J. Van Wey , Lash & Goldberg, LLP, Miami, FL, James E. Gilson , Glenn Christopher Tornillo , Casey Gilson, PC, Atlanta, GA, for Plaintiffs-Appellants.

Jeffrey Lee Poston , Kate Molony Growley , Rachel Lee Talbot , Crowell & Moring, LLP, Washington, DC, David F. Cooper , Kitchens Kelley Gaynes, PC, Atlanta, GA, for Defendant-Appellee.

Before MARCUS, DUBINA, and WALKER, Circuit Judges.


Plaintiffs-appellants are eleven hospitals (the "Plaintiff Hospitals" or "the Hospitals") who provided medical care to Medicare Part C enrollees after being authorized to do so by the defendant-appellee, Care Improvement Plus ("CIP"). BB 4-5. CIP is a Medicare Advantage Organization ("MAO"), which is a private insurance company...

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