The Friction Point Blog | Bricker Graydon Wyatt https://www.bricker.com/the-friction-point/ Wed, 10 Jun 2026 20:52:06 -0400 Might the American Arbitration Association Be Violating Antitrust Laws? https://www.bricker.com/sp_resources-blogpost-might-the-american-arbitration-association-be-violating-antitrust-laws blogpost-might-the-american-arbitration-association-be-violating-antitrust-laws Wed, 13 May 2026 09:00:01 -0400 Copy and Paste – New York & Presbyterian Complaint follows OhioHealth Template https://www.bricker.com/sp_resources-blogpost-copy-and-paste-new-york-presbyterian-complaint-follows-ohiohealth-template blogpost-copy-and-paste-new-york-presbyterian-complaint-follows-ohiohealth-template Fri, 17 Apr 2026 09:00:02 -0400 Anthem Policy Penalizes In-Network Providers for Out-of-Network Care Providers https://www.bricker.com/sp_resources-blogpost-anthem-policy-penalizes-in-network-providers-for-out-of-network-care-providers blogpost-anthem-policy-penalizes-in-network-providers-for-out-of-network-care-providers Wed, 01 Apr 2026 09:00:03 -0400 Might the American Arbitration Association Be Violating Antitrust Laws? https://www.bricker.com/the-friction-point/might-the-american-arbitration-association-be-violating-antitrust-laws James F. Flynn might-the-american-arbitration-association-be-violating-antitrust-laws Wed, 13 May 2026 09:00:04 -0400 One of the bigger barriers to health care providers’ ability to challenge managed care organization (MCO) behaviors is contract terms that force all disputes to arbitration. MCOs insist upon arbitration dispute resolution provisions to prevent disputes from being litigated in local courts. Usually, such arbitration is required to be with the American Arbitration Association (AAA).

]]> Copy and Paste – New York & Presbyterian Complaint follows OhioHealth Template https://www.bricker.com/the-friction-point/copy-and-paste-new-york-presbyterian-complaint-follows-ohiohealth-template James F. Flynn copy-and-paste-new-york-presbyterian-complaint-follows-ohiohealth-template Fri, 17 Apr 2026 09:00:05 -0400 Five weeks after filing a nearly identical lawsuit in a Columbus federal court, the same United States Department of Justice (“DOJ”) attorneys filed a lawsuit in a New York City federal court against The New York and Presbyterian Hospital (“NYPH”).  On March 26, 2026, the DOJ sued NYPH for using its Manhattan-based market power to force payors ...

]]> Anthem Policy Penalizes In-Network Providers for Out-of-Network Care Providers https://www.bricker.com/the-friction-point/anthem-policy-penalizes-in-network-providers-for-out-of-network-care-providers Lindsay K. Scott anthem-policy-penalizes-in-network-providers-for-out-of-network-care-providers Wed, 01 Apr 2026 09:00:06 -0400 Effective January 1, 2026, Anthem (also known as Elevance Health) implemented its Facility Administrative Policy: Use of a Nonparticipating Care Provider for the states of Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, Ohio, and Wisconsin, with plans to expand the policy to California on June 1 ...

]]> Why the MultiPlan Case Matters to All Providers https://www.bricker.com/the-friction-point/why-the-multiplan-case-matters-to-all-providers James F. Flynn why-the-multiplan-case-matters-to-all-providers Tue, 17 Mar 2026 09:00:07 -0400 A massive piece of litigation pending in federal court in Chicago under the caption, In re: Multiplan Health Insurance Provider Litigation, may not be on many providers’ radars because it appears to be mostly about how providers are being reimbursed for out-of-network services. Indeed, most providers get most of their revenues from being in-network with health plans.

]]> OhioHealth Sued by DOJ and State of Ohio for Market Power and Contracting Practices https://www.bricker.com/the-friction-point/ohiohealth-sued-by-doj-and-state-of-ohio-for-market-power-and-contracting-practices James F. Flynn ohiohealth-sued-by-doj-and-state-of-ohio-for-market-power-and-contracting-practices Thu, 26 Feb 2026 09:00:08 -0500 This is the first edition of what will be a regular update on litigation, legislative and other activities related to the relationship between hospital providers and third party payers. Click here and check Health Care Insights & Events to subscribe and receive future editions.

In an irregular use of their enforcement powers, the Antitrust Division ...

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