Appalachian Regional Healthcare, Inc. et al v. Coventry Health and Life Insurance Company et al
Appalachian Regional Healthcare, Inc. and ARH Mary Breckinridge Health Services, Inc. |
Coventry Health and Life Insurance Company and Commonwealth of Kentucky, Cabinet for Health and Family Services |
5:2012cv00114 |
April 16, 2012 |
US District Court for the Eastern District of Kentucky |
Lexington Office |
Fayette |
Karl S. Forester |
Insurance |
28 U.S.C. ยง 1331 |
Plaintiff |
Available Case Documents
The following documents for this case are available for you to view or download:
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Filing 362 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 |
Filing 360 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 |
Filing 354 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 Appalach ian 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 |
Filing 327 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 |
Filing 199 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 |
Filing 176 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 |
Filing 171 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 |
Filing 163 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 |
Filing 161 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 |
Filing 133 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 |
Filing 103 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 |
Filing 67 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 |
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