LifePoint Health hospital loses balance billing case in Virginia

A Virginia judge has ordered Martinsville Memorial Hospital, owned by LifePoint Health, to cut its balance billing rates by 75 percent in a case involving a patient covered by a non-contracted insurer, according to Virginia Lawyers Weekly.

The dispute came after Glenn Dennis was billed more than $111,000 after a two-day hospital stay and surgery to place five stents in his arteries following a heart attack. Dennis and his insurer paid a combined $27,000, and hospital then sued Dennis for the $83,000 difference.

Dennis argued his payments were sufficient because of the hospital’s policy regarding uninsured patients, who are allowed to pay 25 percent of the hospital’s chargemaster rates, according to the Martinsville Daily.

The judge ruled on March 31 that Dennis only owed the hospital an additional $500, a ruling which the Virginia Lawyers Weekly calls “rare judicial rebuke to the common hospital practice” of balance billing. 

""
John Gregory, Senior Writer

John joined TriMed in 2016, focusing on healthcare policy and regulation. After graduating from Columbia College Chicago, he worked at FM News Chicago and Rivet News Radio, and worked on the state government and politics beat for the Illinois Radio Network. Outside of work, you may find him adding to his never-ending graphic novel collection.

Around the web

The American College of Cardiology has shared its perspective on new CMS payment policies, highlighting revenue concerns while providing key details for cardiologists and other cardiology professionals. 

As debate simmers over how best to regulate AI, experts continue to offer guidance on where to start, how to proceed and what to emphasize. A new resource models its recommendations on what its authors call the “SETO Loop.”

FDA Commissioner Robert Califf, MD, said the clinical community needs to combat health misinformation at a grassroots level. He warned that patients are immersed in a "sea of misinformation without a compass."

Trimed Popup
Trimed Popup