- Docket No.
- 2:25-cv-07187
- District Court
- Pennsylvania Eastern
Goal
- Award damages
- Block defendant action
- Declaratory relief
Issues
Litigation Content
Why this Matters:
A private insurer alleges that a private equity-backed anesthesia management company is abusing the No Surprises Act arbitration process to obtain higher out-of-network payments. The higher than expected volume of arbitration cases (including the prevalence of ineligible cases) to date and high provider win rate could raise health costs and plan premiums.
Potential Impact:
Improper billing practices by private-equity backed providers and actions that flout the intent of the No Surprises Act could lead to higher costs and lower-quality care for patients.