Secured $25.6 Million Jury Verdict Against Perpetrators of Health Care Fraud

September 30, 2021

RightCHOICE Managed Care, Inc. et al v. Hospital Partners, Inc. et al, Case No. 5:18-cv-06037 (W.D. Mo.)

Robins Kaplan represented Blue Cross and Blue Shield of Missouri and other Blue Cross Blue Shield plans in litigation against defendants who conspired to defraud the healthcare insurers through utilization of a laboratory pass-through billing scheme.

The defendants and their co-conspirators took control of a Critical Access Hospital in Unionville, MO called Putnam County Memorial Hospital, and used the hospital to bill our clients $18 million for lab tests performed by their laboratory in Colorado. By billing the tests through the hospital, they obtained substantially inflated reimbursements. Robins Kaplan secured a jury verdict for compensatory and punitive damages totaling $25.6 million.

Past results are reported to provide the reader with an indication of the type of litigation we practice. They do not and should not be construed to create an expectation of result in any other case, as all cases are dependent upon their own unique fact situation and applicable law.
Disclaimer

Jeffrey S. Gleason

Partner

Co-Chair, Health Care Litigation Group

Jamie R. Kurtz

Partner

Co-Chair, Health Care Litigation Group

Haynes Hansen

Associate

Pronouns: he/him

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