Prime Healthcare Services, Inc. v. Humana Insurance Co.

Good Law
230 F. Supp. 3d 1194·2017 WL 738586·2017 U.S. Dist. LEXIS 118211
United States District Court, Central District of CaliforniaJanuary 27, 2017CV 16-01097-BRO (JEMx)California5,951 words

Opinion

Lead Opinion

Reidconnell, J.

ORDER RE DEFENDANT’S MOTION TO DISMISS PLAINTIFFS’ SECOND AMENDED COMPLAINT [32]

I. INTRODUCTION

Pending before the Court is Defendant Humana Insurance Company’s (“Defendant” or “Humana”) Motion to Dismiss Plaintiffs Prime Healthcare Services, Inc. et al.’s 1 (“Plaintiffs”) Second Amended Complaint (“SAC”). (Dkt. No. 32 (“Motion” or “Mot.”).) After considering the papers filed in support of and in opposition to the instant Motion, the Court deems these matters appropriate for resolution without oral argument of counsel. See Fed. R. Civ. P. 78; C.D. Cal. L.R. 7-15. For the Mow *1199 ing reasons, the Court GRANTS Defendant’s Motion.

II. FACTUAL AND PROCEDURAL BACKGROUND

A. The Medicare Act

The Medicare Act (hereinafter, the “Act” or “Medicare”) was enacted in 1965 as a federal health insurance program primarily benefitting those 65 years of age and older. See 42 U.S.C. §§ 1395 et. seq. Courts in this district have noted that the Act has been described as “among the most completely impenetrable texts within human experience,” requiring “dense reading of the most tortuous kind.” See Prime Healthcare Huntington Beach, LLC v. SCAN Health Plan, No. SACV 16-01226-DFM, 210 F.Supp.3d…

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