9 HCA hospitals sue Molina over $88M in reimbursements

Nine hospitals have filed a lawsuit against Molina Healthcare of Florida, claiming the health maintenance organization failed to reimburse them for more than $88 million in emergency services, according to the Daily Business Review.

The hospitals, all subsidiaries of Nashville, Tenn.-based HCA Holdings, claim Molina violated a Florida law that requires HMOs to reimburse out-of-network providers for emergency medical care provided to their members.

The nine hospitals were out-of-network for Molina members from the beginning of 2014 through October 2015. During that time, the hospitals provided emergency care to more than 3,000 Molina members.

According to the hospitals, Molina only paid $13.6 million of the more than $102 million in charges for the out-of-network care provided to its members.

The lawsuit was brought by the following Florida hospitals: Kendall Regional Medical Center in Miami, Miami Beach Healthcare Group, Plantation (Fla.) General Hospital, JFK Medical Center in Atlantis, Westside Regional Medical Center in Plantation, Palms West Hospital in Loxahatchee, West Palm Hospital in West Palm Beach, University Hospital and Medical Center in Tamarac and Northwest Medical Center in Margate.

A Molina spokesperson did not respond to the Daily Business Review's request for comment.

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