- Docket No.
- 2:26-cv-03311
- District Court
- New Jersey
Goal
- Award damages
- Declaration that defendant action is unlawful
- Vacate arbitration awards
Issues
Litigation Content
Why This Matters:
Why This Matters:
A private insurer alleges that a plastic surgeon and his practice are abusing the No Surprises Act arbitration process to obtain significantly higher out-of-network payments for breast reduction surgeries. The higher than expected volume of arbitration cases to date and high provider win rate could raise health costs and plan premiums.
Potential Impact:
Potential Impact:
Actions that flout the intent of the No Surprises Act arbitration process could lead to higher costs and lower-quality care for patients.