Skip to content.
About GPO   |   Newsroom/Media   |   Congressional Relations   |   Inspector General   |   Careers   |   Contact   |   askGPO   |   Help  
 

  FDsys > More Information
(Search string is required)
 

12-114 - Appalachian Regional Healthcare, Inc. et al v. Coventry Health and Life Insurance Company et al


Download Files

Metadata

Document in Context
12-114 - Appalachian Regional Healthcare, Inc. et al v. Coventry Health and Life Insurance Company et al
June 20, 2012
PDF | More
OPINION & ORDER: ARH's 8 MOTION for Preliminary Injunction is GRANTED IN PART as follows: 1) Coventry and ARH will main the status quo under their Letter of Agreement to 11/1/2012, including payment to ARH the rates listed on Exhibit A; 2) Coventry will provide to ARH by 8/1/2012, a list of Coventry members who have used ARH services during the past 5 years. Signed by Judge Karl S. Forester on 06/20/2012.(KLB)cc: COR
July 16, 2012
PDF | More
OPINION AND ORDER: 82 VERIFIED MOTION for Order to Show Cause is GRANTED IN PART, but Cabinet will not be required to complete processing at this time; Cabinet is ordered to proceed promptly with the Open Enrollment Period; Cabinet is ordered to retain any form requests to transfer MCO's through the end of the year; The Court will make a decision regarding possible sanctions against the Cabinet at a later date. Signed by Judge Karl S. Forester on 07/16/2012. (KLB) cc: COR
March 28, 2013
PDF | More
OPINION & ORDER: GRANTING ARH's 53 MOTION for Partial Summary Judgment; (a) ARH is not bound by the reimbursement rate for out-of-network services set forth in Section 29.2 of the Medicare Managed Care Contract between Conventry & Cabinet; (b) Conventry shall continue to comply w/LOA's Continuation of Benefits Clause & pay ARH the rate set forth in the LOA for services encompassed by Section 14 of the LOA; (c) Conventry shall pay ARH 100 percent of the Medicaid rate for emergency services provided by ARH to Conventry members; & (d) Conventry will pay ARH the "reasonable value" of non-emergency services provided by ARH to Conventry members, which rate will be determined at a later court proceeding unless agreement is reached. Signed by Judge Karl S. Forester on 3/28/13.(KJR)cc: COR
March 28, 2013
PDF | More
OPINION & ORDER: GRANTING King's Daughters' 119 MOTION to Intervene; the clerk is DIRECTED to file the Intervening Complaint & exhibits tendered w/motion. Signed by Judge Karl S. Forester on 3/28/13.(KJR)cc: COR
March 28, 2013
PDF | More
OPINION & ORDER: GRANTING pla's 122 MOTION to file a Second Amended Complaint; clerk is DIRECTED to file the Second Amended Complaint. Signed by Judge Karl S. Forester on 3/28/13.(KJR)cc: COR
September 11, 2013
PDF | More
OPINION AND ORDER: The Cabinet's 57 Motion for Summary Judgment is GRANTED to the extent that ARH seeks mandamus against the Cabinet based only on state law and is otherwise DENIED. Signed by Judge Karl S. Forester on 9/11/2013. (KLB) cc: COR
September 18, 2013
PDF | More
OPINION AND ORDER: Cabinet's 111 Motion to Vacate contempt filing is DENIED, but Court will consider a future motion by Cabinet to purge itself of contempt. Signed by Judge Karl S. Forester on 9/18/2013. (STC)cc: COR
January 24, 2014
PDF | More
OPINION AND ORDER: Coventry's 141 Motion to Dismiss for Failure to State a Claim and 142 Motion to Dismiss for Failure to State a Claim are DENIED. Signed by Judge Karl S. Forester on 1/24/2014. (STC)cc: COR
February 4, 2014
PDF | More
OPINION AND ORDER: Cabinet's motion to dismiss ARH's Second Amended Complaint 144 and motion to dismiss King's Daughters Intervening Complaint 143 are GRANTED IN PART and DENIED IN PART. The motions are granted to extent that monetary damages are demanded from Cabinet; otherwise, motions are denied. Signed by Judge Karl S. Forester on 2/4/2014. (STC)cc: COR
May 13, 2014
PDF | More
OPINION & ORDER: 190 Objections of Federal Dfts to Magistrate Judge Atkins' 4/8/2014 Order are OVERRULED and Clerk shall unseal the 189 unredacted email of 10/18/2012. Signed by Judge Karen K. Caldwell on 5/13/2014.(STC)cc: COR
January 8, 2016
PDF | More
OPINION AND ORDER: 1. The motion to remand 274 filed by the Department for Health and Human Services is DENIED as moot; 2. the plaintiffs' motion to require the filing of the administrative record 324 is DENIED; and 3. If the Dept of Health and Human Services wishes to file a response to the Plaintiffs' motion for Summary Judgment 288 it SHALL FILE a response within 30 days from the entry date of this order. The plaintiffs may file a reply pursuant to the Local Rules. Signed by Judge Karen K. Caldwell on 01/08/2016.(LC)cc: COR
September 30, 2016
PDF | More
OPINION AND ORDER: re 278 SEALED MOTION. Signed by Judge Karen K. Caldwell on September 30, 2016. cc: service by U.S. Mail on paper to COR (AWD) Modified on 10/17/2016 (KJR). (Unsealed per court's 360 Order).
September 30, 2016
PDF | More
OPINION AND ORDER: 1) Cabinet's motion for summary judgment 280 is GRANTED; 2) plaintiffs' motion for summary judgment 279 is DENIED; 3) claims asserted against Cabinet in Counts V and VI of the complaint are DISMISSED; 4) any claim that Cabinet violated 42 U.S.C. § 1396u-2(b)(5), 2 U.S.C.A. §1396u-2(c)(1)(A)(i)) or 42 C.F.R. § 438.206(a), (b) is DISMISSED; and 5) all claims against Commonwealth of Kentucky, Cabinet for Health and Family Services and Audrey Haynes in her official capacity as Cabinet Secretary having been dismissed, Court hereby ORDERS that Commonwealth of Kentucky, Cabinet for Health and Family Services and Audrey Haynes in her official capacity as Cabinet Secretary are DISMISSED as defendants in this action. Signed by Judge Karen K. Caldwell on 9/30/2016.(STC)cc: COR
September 30, 2016
PDF | More
OPINION AND ORDER: (1) Appalachian Regional's 332 Motion to File a Supplemental Complaint is GRANTED. (2) Appalachian Regional's 135 Second Amended Complaint is DISMISSED. (3) CMS's 329 Motion for Summary Judgment is DENIED as moot. (4) Appalachian Regional's 288 Motion for Summary Judgment is DENIED as Moot. (5) Appalachian Regional must file a supplemental complaint in compliance with this Opinion and Order within 21 days of the date of this Opinion and Order. (6) CMS must file an answer or responsive pleading within 21 days of being served with a copy of the supplemental complaint with response and reply times to follow in accordance with the Local Rules. Signed by Judge Karen K. Caldwell on September 30, 2016. (AWD) cc: COR
September 30, 2016
PDF | More
OPINION AND ORDER: (1) Appalachian Regional's 276 Motion for Partial Summary Judgment is GRANTED in part and DENIED in part. The motion is GRANTED to the extent that Appalachian Regional asks the Court to order that Coventry must pay Appalachian Regional's critical access hospitals 100% of the Medicaid rate for out-of-network hospital services. The motion is otherwise DENIED. (2) Coventry must pay Appalachian Regional's critical access hospitals 100% of the Medicaid rate for out-of-network hospital services rendered to Conventry's Medicaid beneficiaries. Signed by Judge Karen K. Caldwell on September 30, 2016. (AWD) cc: COR
October 17, 2016
PDF | More
OPINION & ORDER: the clerk shall UNSEAL the court's 351 Sealed Order. Signed by Judge Karen K. Caldwell on 10/17/16.(KJR)cc: COR
January 12, 2017
PDF | More
OPINION AND ORDER: 1) w/in 30 days, Coventry and Appalachian Regional SHALL SUBMIT briefs of no more than 25 pages outlining applicable payment statutes and regulations with regard to claims for nonemergency healthcare services at issue in this case and submit evidence of how parties did or did not comply with those provisions; and 2) response and reply briefs may be filed in accordance with the Local Rules. Signed by Judge Karen K. Caldwell on 1/12/2017.(STC)cc: COR