A federal appeals court has breathed new life into a qui tam action alleging that some of the nation’s largest health insurers have been systematically fleecing the government.

In an opinion published Wednesday, the U.S. Court of Appeals for the Ninth Circuit said that whistleblower James Swoben had made a strong case that major insurers like UnitedHealthcare, HealthCare Partners and Aetna violated the False Claims Act by skewing their reporting of patient health data to draw bigger government payments.

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