CarePoint Health Sues Horizon Blue Cross Blue Shield for $76 Million

From The Record

CaerPoint

Bayonne Medical Center

Three Hudson County hospitals known for charging some of the highest prices in the nation for care have filed a federal lawsuit against the state’s largest health insurer, alleging that the company owes them more than $76 million.

CarePoint Health’s hospitals — Bayonne Medical Center, Christ Hospital in Jersey City and Hoboken University Medical Center — say that Horizon Blue Cross Blue Shield of New Jersey has an “intentional and unlawful pattern of drastically underpaying and/or refusing to pay” claims the hospitals submit.

None of the hospitals, which were purchased separately within the last decade by a for-profit group of investors, has a contract with Horizon that sets the rates the insurer will pay for care. That leaves the hospitals free to charge the insurer whatever they wish.

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