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NJ Panel Grills Hospitals Over Discovery In Horizon Row

Posted in Hospitals and Institutions, Litigation, Private Insurers, State Matters

Day Pitney’s Mike Furey was quoted in a June 8 article, “NJ Panel Grills Hospitals Over Discovery In Horizon Row,” in Law360. Day Pitney is representing five New Jersey hospitals in a lawsuit against Horizon Healthcare concerning its new, multi-tiered health plan called OMNIA. Furey advocated before a New Jersey appeals court that Horizon should turn over a consultant’s report and certain agreements pertaining to how Horizon categorized hospitals under its controversial OMNIA Alliance program and the impact of OMNIA on the hospitals. These Tier 2 hospitals are claiming that being ranked in the lower tier of the program will cost them business. Horizon contends that the sought-after materials, including a financial analysis, strategic alliance agreements and rate agreements between the insurer and OMNIA network hospitals, contain trade secret and confidential information. “If we’re going to prove our hospitals should be Tier 1 alliance members, we need the documents and the information,” Furey said.

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