Why Hospitals Are Afraid Of Suing Cost Plus Health Plans/Administrators

“The Dallas team forced the dismissal by aggressively pursuing discovery deep into the recesses of the Plaintiffs’ billing practices. In the end, the Plaintiffs decided they preferred to dismiss the case rather than testify about the inner workings and methodology of their billing system and practices.”

Texas Health Resources VS Group & Pension Administrators

Partner Bob Bragalone proved once again that “the best defense is a good offense.” After months of contentious litigation, the Plaintiffs in a healthcare lawsuit alleging defamation dismissed all of their claims against Gordon & Rees client, Group & Pension Administrators, Inc. (“GPA”).

GPA, a third-party administrator for various health care benefit plans, contested charges made by Plaintiffs for services rendered to a multitude of patients/beneficiaries under their respective benefit plans. To offset the “balance billing” practices of the providers, GPA notified patients that certain charges were not covered by their respective health care plans. The Plaintiffs then sued for defamation, seeking millions in damages.

The Dallas team forced the dismissal by aggressively pursuing discovery deep into the recesses of the Plaintiffs’ billing practices. In the end, the Plaintiffs decided they preferred to dismiss the case rather than testify about the inner workings and methodology of their billing system and practices. (http://www.gordonrees.com/results/viewResult.cfm?contentID=1175)

Editor’s Note: Aggressive discovery tactics into the secretive world of hospital billing practices is akin to Kryptonite’s affect on Superman.