Dialysis Providers Claim Insurer Imposes ACA-Prohibited Caps On Reimbursement

(June 13, 2016, 2:43 PM EDT) -- MADISON, Wis. — Humana Insurance Co. improperly caps reimbursement for dialysis at $30,000 in violation of the Patient Protection and Affordable Care Act (ACA), a medical provider claims in a June 10 complaint in Wisconsin federal court (Fresenius Medical Care Midwest Dialysis LLC, et al. v. Humana Insurance Co., et al., No. 16-711, E.D. Wis.).

(Complaint available. Document #93-160622-006C.)

Fresenius Medical Care Midwest Dialysis LLL, Bio-Medical Application of Wisconsin Inc. and Wisconsin Renal Care Group LLC (collectively, plaintiffs) claim that they provided eight individuals with life-saving...
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