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

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.