Highlands Physicians, Inc. v. Wellmont Health System

 In the Law Court for Sullivan County at Kingsport, Tennessee  |  Civil Action No. C41368(C)

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The Law Court of Sullivan County gave final approval to the settlement on August 17, 2021.

Cigna damages were based on the reduction in reimbursement rates that Cigna reported, on a confidential basis through discovery in this case, that it achieved through physician recontracting at the end of 2013. If you did not participate in the Cigna contract through HPI in 2013, or Cigna did not report that it entered into a new contract with your practice group directly in 2014, you are not eligible for damages in this category.

Direct damages owed to each practice group in the Class based on practice groups’ participation in direct-employer contracts and the revenue derived from that participation. Counsel has allocated damages to your practice based on your participation in those contracts and the proportion of revenue received by you from those contracts, relative to overall participation and revenue by HPI practice groups.

Damages for breach of the Network Access Agreement were calculated by using historical claims data and estimating the effect that depressed reimbursement rates would have had on revenue received from the Network Access Agreement in 2013 and 2014.

The above methodologies are explained in more detail in the Distribution Plan filed with the Court by HPI on July 13, 2021.

If you have questions or additional information that you believe would impact the amount to which you are entitled, you must let us know by September 9, 2021. Once all questions are resolved, we will distribute the funds. If we do not receive any questions by September 9, 2021, we anticipate distributing the funds by September 30, 2021.
IMPORTANT: To receive money, an authorized representative of the practice group to whom this is addressed must click here and confirm the TIN and provide us with wire transfer or address information to send the money.
As outlined in the Distribution Plan, money will be sent to practice groups, who will be responsible for allocating money to individuals.


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