Healthcare Justice Coalition NJ v. UnitedHealth: the emergency pricing fight

Originally posted December 5, 2023 by Chris Vanderwolk

🚨 Hot Topic: The Emergency Healthcare Pricing Debate 🚨

Healthcare Justice Coalition NJ, LLC filed suit against UnitedHealth Group, Inc. and related companies alleging underpayment of emergency services claims.

The case hinges on whether reimbursements were "reasonable." The plaintiffs argue that the reasonable amount is the "amount Physicians charged for such services."

What do you think? Is this a case of healthcare greed or a fight for fair compensation? Are emergency services providers exploiting the system with inflated bills, or are they struggling against inadequate reimbursements? Is the billed amount a "reasonable" amount?

Originally posted on LinkedIn, where the discussion and source links live in the comments.

About the author

Chris Vanderwolk is Director of Compliance and Innovation at OneDigital | Kistler Tiffany Benefits General Agency, where he helps brokers and employers navigate the regulatory complexity of employee benefits. An ERISA attorney with more than 19 years in the benefits industry, he specializes in translating what the law actually requires into language people can use.