Legal Opinion

Moda Health Plan, Inc. v. United States

Court of Appeals for the Federal Circuit

Decided June 14, 2018No. 2017-1994PublishedCited by 39 opinions

1Opinion of the Court

Dissenting opinion filed by Circuit Judge Newman.

Prost, Chief Judge.

*1314A health insurer contends that the government failed to satisfy the full amount of its payment obligation under a program designed to alleviate the risk of offering coverage to an expanded pool of individuals. The Court of Federal Claims entered judgment for the insurer on both statutory and contract grounds. The government appeals. We reverse.

BACKGROUND

This case concerns a three-year "risk corridors" program described in the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, 124 Stat. 119 (2010) (codified at 42…

2Cases cited21 opinions

  1. Office of Personnel Management v. RichmondSupreme Court of the United States · 1990
  2. United States v. WillSupreme Court of the United States · 1980
  3. Trauma Service Group v. United StatesCourt of Appeals for the Federal Circuit · 1997
  4. National Railroad Passenger Corp. v. Atchison, Topeka & Santa Fe Railway Co.Supreme Court of the United States · 1985
  5. Dodge v. Board of Ed. of ChicagoSupreme Court of the United States · 1937

16 more not listed; retrieve them via the Exa API.

3Cited by39 opinions

  1. Maine Community Health Options v. United StatesSupreme Court of the United States · 2020
  2. Hammer v. U.S. Dep't of Health & Human Servs.Court of Appeals for the Seventh Circuit · 2018
  3. Sanford Health Plan v. United StatesCourt of Appeals for the Federal Circuit · 2020
  4. New Mex. Health Connections, Non-Profit Corp. v. U.S. Dep't of Health & Human Servs.District Court, D. New Mexico · 2018
  5. Avalos v. United StatesCourt of Appeals for the Federal Circuit · 2022

34 more not listed; retrieve them via the Exa API.

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