- Docket No.
- 4:26-cv-00060
- District Court
- Kentucky Western
Goal
- Award damages
- Block defendant action
- Declaration that defendant action is unlawful
Issues
Litigation Content
Why This Matters:
Why This Matters:
A private insurer alleges that an emergency medicine provider is abusing the No Surprises Act arbitration process to obtain higher out-of-network payments. 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:
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.