Radiology provider Envision Healthcare has reportedly scored a $91 million judgment against the nation’s largest commercial insurer, Radiology Business reports.
The Nashville-based multispecialty group first sued UnitedHealthcare in 2018, challenging the powerful industry giant’s billing practices. But the suit disappeared from public view, moving from federal court to an arbitration panel, as the Financial Times reported.
In a ruling reached earlier this year but not made public, arbitrators determined UnitedHealthcare breached its contract with Envision by “unilaterally reducing reimbursement rates.” The insurer now must pay tens of millions in damages, according to a redacted copy of the ruling.
UnitedHealthcare said it disagrees with the decision while noting that arbitrators have previously denied other claims from the physician services firm. The payer plans to continue fighting those who “demand unreasonable and anti-competitive rates for their services and drive up the cost of care for everyone.” Read more.
