June 25, 2019

By Alex Kacik

“Humana and other Medicare Advantage plans have argued that their network providers cannot sue them for breach of contract because those claims are pre-empted by the Medicare Advantage statute. The decision marks one of the first federal court rulings to recognize that providers can challenge private contracts with Medicare Advantage insurance companies, according to the law firm King & Spalding that is representing Prime, along with the law firm Buchalter. ”

To read full article, visit ModernHealthcare.com.