Aetna Health Inc. et al. v. Radiology Partners Inc. et al.

Docket No.
26-11607
Appellate Court
Eleventh Circuit

Goal

  • Award damages
  • Award restitution
  • Declaratory relief
  • Enjoin defendants' conduct
  • Vacate arbitration awards

Litigation Content

Why This Matters:

Why this Matters:

A private insurer alleges that a large private equity-backed radiology practice group is violating Florida corporate practice of medicine laws and fraudulently billing for radiology services to increase revenue. The health insurance company also alleges that the radiology company is abusing the No Surprises Act arbitration process to receive higher out-of-network payments. The plaintiffs appeal an order granting the defendants’ motion to dismiss.

Potential Impact:

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.

2 Major Filings

Litigation Information

Current Status

Briefing is ongoing

Important Date

Opening Brief Due