Issue Cluster

Medicare Advantage

More than half of eligible Medicare beneficiaries are now enrolled in a Medicare Advantage plan – an alternative to traditional Medicare coverage run by private companies. Policymakers and experts have raised concerns about key aspects of the Medicare Advantage program, including overpayments, coding intensity, marketing practices, and transparency. Industry has aggressively fought policy efforts to reform the Medicare Advantage program, including through litigation.

38 tracked cases

New cases tracked in the last 12 months

4 Nov

0 Dec

1 Jan

0 Feb

0 Mar

0 Apr

0 May

0 Jun

4 Jul

0 Aug

0 Sep

0 Oct

Who's Suing

Plaintiff by Type

Who's Being Sued

Defendant by Type

Who's Suing

Plaintiff by Type

Who's Being Sued

Defendant by Type

Legal Issues

Statutes & Doctrines Cited

Legal Issues

Statutes & Doctrines Cited

Geographic Trends

15 active district courts

4 active circuit courts

Not shown: Puerto Rico (First Circuit), the U.S. Virgin Islands (Third Circuit), and Guam and the Northern Mariana Islands (Ninth Circuit).

Court Level

Appellate District

7 (18%) 31 (82%)

Status

Who's Presiding

District Court Cases by Appointing President

Reflects district court judges only.

O'Neill Institute

Eleventh Circuit Upholds Whistleblower Statute Used To Fight Health Care Fraud

Health Affairs

Medicare Advantage Quality Bonus Program: Court Decisions Spotlight Flaws

Health Affairs

Medicare Advantage Insurers And Brokers Fail To Toss Whistleblower Lawsuit

Health Affairs

Medicare Advantage Whistleblower Lawsuit Alleges Insurer And Broker Misconduct

All trend data is based solely on the cases on this website; if you want to recommend a new case to include, please let us know at hpli@georgetown.edu.

Medicare Advantage Cases We're Tracking

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Status: Briefing is ongoing
Motion to Dismiss Granted in Part

Court: Minnesota — Fourth

Goal: Award damages +1 additional goal(s)

Status: Briefing is ongoing

Court: Massachusetts

Goal: Award damages +1 additional goal(s)

Status: Decision issued

Court: Eleventh Circuit

Goal: Award damages

Status: Briefing is ongoing

Court: Kentucky Western

Goal: Award damages +2 additional goal(s)

Status: Appeal Filed

Court: Georgia Southern — Brunswick

Goal: Compel agency action +2 additional goal(s)

Status: Briefing is ongoing

Court: District of Columbia

Goal: Block enforcement of agency action +3 additional goal(s)

Status: Decision issued
Motions to Dismiss and for Preliminary Injunction Denied

Court: Georgia Southern — Brunswick

Goal: Compel agency action +2 additional goal(s)

Status: Briefing is ongoing

Court: Eleventh Circuit

Goal: Compel agency action +2 additional goal(s)

Status: Briefing is ongoing

Court: District of Columbia

Goal: Block enforcement of agency action +3 additional goal(s)

Status: Briefing is ongoing

Court: New York Southern

Goal: Award damages

Status: Case Dismissed

Court: Tennessee Eastern — Northeastern

Goal: Award damages +1 additional goal(s)

Status: Briefing is ongoing

Court: Fifth Circuit

Goal: Declaration that agency action is unlawful +1 additional goal(s)

Status: Briefing is ongoing

Court: California Central — Western

Goal: Award damages +1 additional goal(s)

Status: Appeal Filed
Motion for Summary Judgement Granted In Part

Court: District of Columbia

Goal: Compel agency action +2 additional goal(s)

Status: Decision issued

Court: D.C. Circuit

Goal: Compel agency action +2 additional goal(s)

Status: Briefing is ongoing

Court: California Eastern

Goal: Award damages +1 additional goal(s)

Status: Appeal Filed

Court: Texas Northern — Fort Worth

Goal: Declaration that agency action is unlawful +1 additional goal(s)

Status: Briefing is ongoing

Court: Fifth Circuit

Goal: Block enforcement of an agency action +2 additional goal(s)

Status: Appeal Filed

Court: District of Columbia

Goal: Block enforcement of an agency action +3 additional goal(s)

Status: Decision issued

Court: D.C. Circuit

Goal: Block enforcement of an agency action +3 additional goal(s)

Status: Briefing is ongoing

Court: District of Columbia

Goal: Compel agency action +2 additional goal(s)

Status: Case Dismissed

Court: California Northern

Goal: Award damages

Status: Appeal Filed

Court: Texas Northern — Fort Worth

Goal: Block enforcement of an agency action +2 additional goal(s)

Status: Appeal Filed

Court: Florida Middle

Goal: Award damages

Status: Briefing is ongoing

Court: District of Columbia

Goal: Compel agency action +1 additional goal(s)

Inactive Case

Status: Case Dismissed

Court: California Northern

Goal: Award damages +1 additional goal(s)

Inactive Case

Status: Decision issued

Court: New York Southern

Goal: Award damages +1 additional goal(s)

Inactive Case

Status: Decision issued

Court: Second Circuit

Goal: Award damages +1 additional goal(s)

Inactive Case

Status: Decision issued

Court: District of Columbia

Goal: Compel agency action +2 additional goal(s)

Inactive Case

Status: Case Dismissed

Court: Illinois Northern — Eastern

Goal: Award damages

Inactive Case

Status: Case Dismissed

Court: Tennessee Middle — Nashville

Goal: Award damages +1 additional goal(s)

Inactive Case

Status: Decision issued

Court: District of Columbia

Goal: Compel agency action +2 additional goal(s)

Inactive Case

Status: Decision issued

Court: District of Columbia

Goal: Block enforcement of agency action +2 additional goal(s)

Inactive Case

Status: Decision issued

Court: Texas Northern — Fort Worth

Goal: Compel agency action +1 additional goal(s)

Inactive Case

Status: Decision issued

Court: District of Columbia

Goal: Block enforcement of an agency action +1 additional goal(s)

Inactive Case

Status: Decision issued

Court: District of Columbia

Goal: Compel agency action +2 additional goal(s)

Inactive Case

Status: Decision issued

Court: Texas Eastern — Tyler

Goal: Compel agency action +2 additional goal(s)

Inactive Case

Status: Decision issued

Court: Texas Northern — Fort Worth

Goal: Compel agency action +2 additional goal(s)