Houston, We Have a Conflict: How Insurers Profit on the Backs of Out-of-Network Substance Use Disorder Treatment Providers

Event Details


May 22, 2024 | 12:00 pm - 1:00 pm EDT

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Despite ERISA’s mandate that health insurance companies act solely in the interest of health plan participants and beneficiaries, recent years have seen insurance companies drastically decrease reimbursements for out-of-network (“OON”) substance use disorder (“SUD”) claims, placing providers and patients under financial strain while insurance company profits continue to soar. Does this present a financial conflict of interest?

Discover the answers and more in this complimentary webinar tailored specifically for OON SUD providers and the attorneys who advise them as AGG Healthcare Litigation partners Rich Collins and Damon Eisenbrey pull back the curtain on the financial conflicts of interest that drive health insurance companies’ processing and pricing of OON SUD claims.

During the webinar, Rich and Damon will cover:

  • Financial conflicts impacting OON SUD claim payments
  • The distinction between fully insured and self-funded plans, and the inherent conflicts of interest in both plan types
  • The recent summary judgment ruling in TML Recovery, et al. v. Cigna, et al., where the district court found financial conflicts of interest in Cigna’s pricing of OON SUD claims
  • How financial conflicts can burden providers and patients, escalating the cost of SUD treatment
  • Strategies to eliminate insurance companies’ financial conflicts of interest

There will be an opportunity for Q&A at the end of this webinar.

Credits: 1 hour of CLE credit is approved by the State Bar of Georgia

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