Judge Denies Dueling Motions In ACA Essential Benefits Dialysis Coverage Spat

Mealey's (September 7, 2017, 2:24 PM EDT) -- MILWAUKEE — An insurer’s interpretation of the Patient Protection and Affordable Care Act (ACA) essential health benefits mandate as excluding dialysis before 2014 was not clearly reasonable, but neither has a provider shown that the company acted unreasonably, a federal judge in Wisconsin held in denying cross-motions for summary judgment on Sept. 5 (Fresenius Medical Care Midwest Dialysis LLC, et al. v. Humana Insurance Co., et al., No. 16-711, E.D. Wis., 2017 U.S. Dist. LEXIS 142970)....