Kaiser Got $4M In Discounts From 'Silent PPO,' Hospital Says

Law360, New York (October 24, 2012, 2:46 PM EDT) -- A Hawaii hospital filed a $4 million lawsuit Friday accusing HMO operator Kaiser Foundation Health Plan Inc. of creating a “silent PPO” arrangement that allowed it to wrongly claim discounts under another insurance company’s contract.

The complex framework involved Kaiser paying Stratose Inc., a so-called repricing firm that is also being sued, for the right to use discounts that Stratose accessed from a PPO insurer that had a contract entitling its customers to reduced-cost treatment at Queen’s Hospital Medical Center in Honolulu, the lawsuit alleges....
To view the full article, register now.
Law360 Pro Say Podcast
Check out Law360's new podcast, Pro Say, which offers a weekly recap of both the biggest stories and hidden gems from the world of law.