Earlier this summer, the Eleventh Circuit issued an opinion in
one of the largest False Claims Act (FCA) cases in recent
years—at least in terms of recovery—reinstating the
majority of a massive $350 million jury verdict. See Ruckh v.
Salus Rehabilitation, LLC, 963 F.3d 1089, 1102 (11th Cir.
2020). The decision weighs in on a number of key and emerging FCA
issues, including materiality under
Escobar and relator standing. While the decision is great
news for relators and the government, the Eleventh Circuit's
reasoning, especially with regard to Escobar, is less than
clear and leaves much open to interpretation.
We at Qui Notes have been following Ruckh and
previously reported on the DOJ's amicus brief, which noted the
inherent tension between Escobar's materiality
analysis and the practicalities of the government's enforcement
and payment practices. To recap the facts briefly, a registered
nurse and former employee of a skilled nursing facility in Florida
brought a