NJ Hospitals Whack Horizon With Contract Suit Over Omnia

By Martin Bricketto (December 11, 2015, 6:14 PM EST) -- Seven hospitals on Thursday launched the latest legal challenge in New Jersey to Horizon Healthcare's new tiered coverage program, contending Horizon breached in-network contracts by ambushing the hospitals with lower tier designations without advance notice on how such decisions were reached.

Capital Health System Inc., CentraState Medical Center Inc. and other hospitals behind Thursday's suit in Bergen County Superior Court argue that, under the network agreements they signed with Horizon Healthcare Services Inc., they should have received at least 60 days notice of the insurer's Omnia Health Alliance and the criteria that it was using to determine preferred tier facilities for...

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