Seattle Children’s Files Suit Alleging Unfair Insurance Exchange Options

Seattle Children’s Hospital has filed suit against Washington state’s Office of the Insurance Commissioner, claiming the current exchange will keep some patients from receiving care at the hospital as the majority of the plans available on the state’s health insurance exchange do not provide coverage for services at Seattle Children’s.

Advertisement

According to an NPR report, of the eight plans currently available on Washington HealthPlanFinder, six do not consider Seattle Children’s in-network. The goal of the suit is to have two insurers, Coordinated Care and Molina, initially rejected by the insurance commissioner because of unfair provider contracts but allowed on the exchanges last month, to be removed from Washington HealthPlanFinder, according to the report.

“Every child should have access to essential healthcare and the intent of the new exchange is to make it available to all families,” said Thomas Hansen, MD, CEO of Seattle Children’s, in a hospital news release. “However, we are very concerned about the limited networks being offered by some exchange insurance plans. Omitting coverage for care at a facility like Children’s prevents families from accessing vital services they may desperately need.”

More Articles on Healthcare Lawsuits:

5 Things to Know About the Tuomey Healthcare Case
Tri-City Medical Center Drops 4-Year-Old Lawsuit Against Scripps
21 Recent Investigations, Lawsuits and Settlements Involving Hospitals

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Register to Attend Webinar

Reconsider What’s Possible: Enterprise RCM and the Pro-Fee Practice

Tuesday, July 28
11:00 AM - 12:00 PM CDT

Presenters: Garett Kreitz, Med-MetrixJohn Stefanowicz, Med-Metrix

Advertisement

Next Up in Legal & Regulatory Issues

Advertisement

Comments are closed.