DIALYSIS NEWCO v. COMMUNITY HEALTH SYSTEMS GROUP

No. 18-40863.

938 F.3d 246 (2019)

DIALYSIS NEWCO, INC., doing business as DSI Laredo Dialysis, Plaintiff-Appellee, v. COMMUNITY HEALTH SYSTEMS GROUP HEALTH PLAN; Community Health Systems, Inc.; MedPartners Administrative Services, L.L.C., Defendants-Appellants.

United States Court of Appeals, Fifth Circuit.

FILED September 11, 2019.


Attorney(s) appearing for the Case

Michael Lester Hood, Esq. , Litigation Counsel, Debra Janece McComas, Esq. , Haynes & Boone, L.L.P., Dallas, TX, for Plaintiff-Appellee.

Scott Burnett Smith , Bradley Arant Boult Cummings, L.L.P., Huntsville, AL, Jake M. Gipson , Bradley Arant Boult Cummings, L.L.P., Birmingham, AL, for Defendants-Appellants COMMUNITY HEALTH SYSTEMS GROUP HEALTH PLAN, CHS/COMMUNITY HEALTH SYSTEMS, INCORPORATED.

Scott Thomas Clark , Adams & Graham, L.L.P., Harlingen, TX, for Defendant-Appellant MEDPARTNERS ADMINISTRATIVE SERVICES, L.L.C.

Anthony F. Shelley , Miller & Chevalier Chartered, Harlingen, TX, for Amici Curiae AMERICAN BENEFITS COUNCIL, ERISA INDUSTRY COMMITTEE.

Before ELROD, GRAVES, and OLDHAM, Circuit Judges.


This case involves a three-way dispute between an ERISA plan and its administrator, a third-party processor, and a healthcare provider. At its core, this is a contract dispute over whether the administrator and the third-party processer underpaid the provider for hemodialysis treatments received by an employee...

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