No. 20-581

United States, ex rel. Integra Med Analytics, L.L.C. v. Baylor Scott & White Health, et al.

Lower Court: Fifth Circuit
Docketed: 2020-11-02
Status: Denied
Type: Paid
Response Waived
Tags: 3rd-circuit 5th-circuit alternative-explanation alternative-explanations false-claims-act federal-procedure pleading-standards relator statistical-analysis
Key Terms:
JusticiabilityDoctri
Latest Conference: 2020-12-04
Question Presented (AI Summary)

Whether a relator may use statistical analyses to plausibly allege the submission of false claims under the False Claims Act

Question Presented (OCR Extract)

QUESTIONS PRESENTED Numerous circuits have held that a relator may state a claim under the False Claims Act, 31 U.S.C. §§ 3729-32 (the “FCA”), by alleging “particular details of a scheme to submit false claims paired with reliable indicia that lead to a strong inference that claims were actually submitted.” U.S. ex rel. Grubbs v. Kanneganti, 565 F.3d 180, 190 (5th Cir. 2009). In U.S. ex rel. Customs Fraud Investigations, LLC v. Victaulic Co., the Third Circuit found that a relator may plausibly allege reliable indicia of the submission of false claims through the use of statistical analyses. 839 F.3d 242, 256-58 (3d Cir. 2016). 1. In using statistical analyses to meet federal pleading standards, to what extent must a relator exclude possible alternative explanations for alleged misconduct? 2. Did the Fifth Circuit err when it failed to credit Petitioner’s statistical analyses because of what it perceived to be an “obvious alternative explanation,” even though the relator pleaded facts tending to exclude the court’s explanation?

Docket Entries

2020-12-07
Petition DENIED.
2020-11-10
DISTRIBUTED for Conference of 12/4/2020.
2020-11-03
Waiver of right of respondent Baylor Scott & White Health,, et al. to respond filed.
2020-10-26
Petition for a writ of certiorari filed. (Response due December 2, 2020)

Attorneys

Baylor Scott & White Health,, et al.
James F. SegrovesReed Smith LLP, Respondent
James F. SegrovesReed Smith LLP, Respondent
United States of America, ex rel., Integra Med Analytics L.L.C.
Phillip Jason CollinsReid Collins & Tsai LLP, Petitioner
Phillip Jason CollinsReid Collins & Tsai LLP, Petitioner