- Docket No.
- 2:25-cv-00176
- District Court
- Tennessee Eastern
Goal
- Award damages
- Declaration that defendant action is unlawful
Issues
Litigation Content
Why this Matters:
The plaintiff health systems argue that the defendant breached their contractual agreement by systematically denying Medicare Advantage claims for medically necessary care and engaged in fraudulent activity that the defendants have misrepresented to federal regulators. The plaintiffs also allege that an arbitration agreement between the parties is void as a matter of public policy given that it serves to conceal the defendants’ activities. The improper denial of claims can harm patients, health care providers, and federal health programs.
Potential Impact:
Safeguards against the improper denial of Medicare Advantage claims and other fraudulent schemes are essential to ensuring timely patient access to necessary care, avoiding unnecessary financial strains on health systems, and promoting the efficient use of government funding.
14 Major Filings
- ORDER ON MOTION TO SEAL (Jan 16, 2026)
- DEFENDANTS' REPLY RE: MOTION TO COMPEL ARBITRATION OR DISMISS (Jan 16, 2026)
- DEFENDANTS' MOTION TO SEAL (Jan 16, 2026)
- ORDER ON MOTION TO SEAL (Dec 30, 2025)
- SCHEDULING ORDER (Dec 30, 2025)
- DEFENDANTS' MOTION FOR EXTENSION OF TIME (Dec 30, 2025)
- PLAINTIFFS' MOTION TO SEAL (Dec 26, 2025)
- ORDER ON MOTION TO SEAL (Dec 5, 2025)
- DEFENDANTS' MOTION TO SEAL (Dec 4, 2025)
- DEFENDANTS' MOTION TO COMPEL ARBITRATION OR DISMISS (Dec 4, 2025)
- JOINT STIPULATION (Nov 6, 2025)
- ORDER ON MOTION TO SEAL (Oct 23, 2025)
- PLAINTIFFS' MOTION TO SEAL (Oct 21, 2025)
- COMPLAINT (Oct 21, 2025)