- Docket No.
- 8:26-cv-00023
- District Court
- California Central
Goal
- Award damages
- Award restitution
- Block defendant action
- Declaration that awards are unenforceable
- Declaration that defendant action is unlawful
- Vacate arbitration awards
Issues
Litigation Content
Why this Matters:
Private insurers allege that a hospital system is abusing the No Surprises Act arbitration process to receive higher out-of-network payments in violation of the California Business and Professions Code, the Employee Retirement Income Security Act, and the No Surprises Act. 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:
Actions that flout the intent of the No Surprises Act arbitration process through the submission of ineligible disputes could lead to higher costs and lower-quality care for patients.