Texas Jury Weighs $ 117 Million Asking Doctors In Insurance Rates Row

Law360 (June 23, 2021, 8:34 p.m. EDT) – Houston jurors wonder if two emergency room personnel companies are entitled to $ 117 million in damages from insurer Molina Healthcare of Texas Inc. for consistently underpaid claims or if companies are looking for a reimbursement windfall that would crush insurers who cover low-income clients.

ACS Primary Care Physicians Southwest PA and Emergency Services of Texas told the jury in closing arguments on Wednesday that it was the first case in the country to plead out-of-network compensation for emergency physicians with insurance companies private under the Affordable Care Act. Molina mainly insures low-income people who receive government assistance.

The lawyer for ACS told the jury that the insurer Molina is …

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