UNITED STATES v. MOLINA HEALTHCARE OF ILLINOIS

No. 20-2243.

10 F.4th 765 (2021)

UNITED STATES of America and the State of Illinois EX REL. Thomas PROSE, Plaintiff-Appellant, v. MOLINA HEALTHCARE OF ILLINOIS, INC., and Molina Healthcare, Inc., Defendants-Appellees.

United States Court of Appeals, Seventh Circuit.

Decided August 19, 2021.


Attorney(s) appearing for the Case

Neil M. Rosenbaum , Damon E. Dunn , Attorneys, Funkhouser Vegosen Liebman & Dunn, Bruce C. Howard , Attorney, Howard Law LLC, Paul M. King , Attorney, Pedersen & Houpt, P.C., Chicago, IL, Tejinder Singh , Attorney, Goldstein & Russell, P.C., Bethesda, MD, for Plaintiff-Appellant.

Albert Giang , Kelly Perigoe , Attorneys, King & Spalding LLP, Los Angeles, CA, Sulema Medrano Novak , Attorney, Faegre Drinker Biddle & Reath, LLP, Chicago, IL, Quyen Ta , Attorney, King & Spalding, San Francisco, CA, for Defendants-Appellees.

Before Sykes, Chief Judge, and Wood and Hamilton, Circuit Judges.


Sophisticated players in the healthcare market know that services come at a cost; providers charge fees commensurate with the services rendered; and payors expect to receive value for their money. There are many options from which to choose when designing a payment scheme, including fee-for-service, prepaid services using the...

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