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Nursing home quality-of-care cases after Mikes v. Straus
Stuart I Silverman1, Sidney Rocke
1Medicaid Fraud Control Unit, Office of the Inspector General, Government of the District of Columbia, Washington DC, USA.
Abstract:
The quality of care rendered to residents of nursing facilities continues to gain attention from legislators, regulators, and the courts. Advocates for improvements in the quality of care by government-funded healthcare providers have identified the False Claims Act (FCA) as a potent tool. The Second Circuit decision in Mikes v. Straus might be viewed as a barrier to FCA claims against nursing facilities. Any impediment imposed by this decision, however, is limited by the facts of the case; the authors believe that carefully-crafted pleadings can enable litigants to rely upon the FCA in pursuing quality-of-care claims against nursing facilities.