Health Care Service Corporation v. Neuromonitoring Associates LLC et al.

Docket No.
5:26-cv-00022
District Court
Texas Eastern — Texarkana

Goal

  • Award damages
  • Award restitution
  • Block defendant action
  • Declaration that defendant action is unlawful
  • Vacate arbitration awards

Litigation Content

Why This Matters:

Why This Matters:

Plaintiff, a private health insurer, alleges that health care providers (1) engaged in an illegal kickback scheme with surgeons in exchange for orders on intraoperative neuromonitoring services during surgical procedures; and (2) exploited the No Surprises Act’s independent dispute resolution process by submitting ineligible claims. The allegedly unlawful practices resulted in thousands of arbitration awards against the insurer, cumulatively worth tens of millions of dollars.

Potential Impact:

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.

Litigation Information

Current Status

Briefing is ongoing