Here are five key notes:
1. More than six years ago, Hooper, Lundy and Bookman filed the class action against United Health on behalf of the California ASCs. Downey Surgical Clinic and Tarzana Surgery Center were the class representatives for the class action.
2. The class action claimed United Healthcare and several of its corporate subsidiaries, including Optum, failed to properly calculate the reasonable and customary amounts for out-of-network ASCs.
3. United Healthcare’s alleged actions resulted in underpayments worth millions of dollars for the surgery centers.
4. In September 2015, United Health agreed to the $9.5 million settlement fund.
5. Some ASCs that filed the settlement will receive payments surpassing $400,000.
“This is an important victory for out-of-network surgery centers,” said lead attorney, Daron Tooch. “We are pleased that the court has approved a settlement that will adequately compensate California surgery centers whose claims were underpaid. We would particularly like to thank our class representatives, Downey Surgical Clinic and Tarzana Surgery Center, for their patience, persistence and willingness to stand up for their rights in this litigation.”
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At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.