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POLANSKY v. EXECUTIVE HEALTH RESOURCES INC.

No. 19-3810.

17 F.4th 376 (2021)

Jesse POLANSKY, M.D., M.P.H.; the State of California, the State of Colorado, the State of Connecticut, the State of Delaware, the District of Columbia, the State of Florida, the State of Georgia, the State of Hawaii, the State of Illinois, the State of Indiana, the State of Iowa, the State of Louisiana, the State of Maryland, the Commonwealth of Massachusetts, the State of Michigan, the State of Minnesota, the State of Montana, the State of Nevada, the State of New Jersey, the State of New Mexico, the State of New York, the State of North Carolina, the State of Oklahoma, the State of Rhode Island, the State of Tennessee, the State of Texas, the Commonwealth of Virginia, the State of Washington, and the State of Wisconsin v. EXECUTIVE HEALTH RESOURCES INC; UnitedHealth Group Inc; United HealthCare Services Inc; Optum Inc; OptumInsight Inc; OptumInsight Holdings LLC; Community Hospital of the Monterey Peninsula; Yale New Haven Hospital; United States of America Jesse Polansky, M.D., M.P.H., Appellant.

United States Court of Appeals, Third Circuit.

Filed: October 28, 2021.

Attorney(s) appearing for the Case

Nicholas C. Carullo , Stephen L. Shackelford, Jr. , Susman Godfrey, 1301 Avenue of the Americas — 32nd Fl., New York, NY 10019, Daniel L. Geyser [ARGUED], Haynes & Boone 2323 Victory Avenue — Ste. 700, Dallas, TX 75219, William T. Jacks , Fish & Richardson, 111 Congress Avenue — Ste. 810, Austin, TX 78701, Counsel for Appellant.

Tejinder Singh , Goldstein & Russell, 7475 Wisconsin Avenue — Ste. 850, Bethesda, MD 20814, Counsel for Amicus Appellant Taxpayers Against Fraud Education Fund.

Ned I. Miltenberg , National Legal Scholars Law Firm, 5410 Mohican Road — Ste. 200, Bethesda, MD 20816, Counsel for Amicus Appellants Erwin Chemerinsky, National Whistleblowers Center, and Project on Government Oversight.

Ethan M. Posner [ARGUED], Christopher M. Denig , Matthew F. Dunn , Michael M. Maya , Krysten R. Moller , Covington & Burling, 850 10th Street, NW, One City Center, Washington, DC 20001, Abigail A. Hazlett , Tracy Rhodes , Robin P. Sumner , Troutman Pepper Hamilton Sanders, 3000 Two Logan Square — Ste. 1250, 18th and Arch Streets, Philadelphia, PA 19103, Counsel for Appellee Executive Health Resources Inc.

Jeffrey B. Clark [ARGUED], United States Department of Justice, Environment & Natural Resources Division, 950 Pennsylvania Avenue, NW, Washington, DC 20530, Stephanie R. Marcus , United States Department of Justice, Civil Division, 950 Pennsylvania Avenue, NW — Rm. 7642, Washington, DC 20530, Charles W. Scarborough , United States Department of Justice, Appellate Section, 950 Pennsylvania Avenue, NW — Rm. 7244, Washington, DC 20530, Counsel for Appellee United States of America

Jeffrey S. Bucholtz , Jeremy M. Bylund , King & Spalding, 1700 Pennsylvania Avenue, NW — Ste. 200, Washington, DC 20006, Counsel for Amicus Appellee Chamber of Commerce of the United States of America.

Before: JORDAN, KRAUSE, and RESTREPO, Circuit Judges.

OPINION OF THE COURT

The False Claims Act (FCA), 31 U.S.C. § 3729, et seq., empowers not just the federal government, but also private individuals, to bring claims for fraud on the United States and to do so in the Government's name in exchange for a share of the proceeds. These individuals, known as...

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