CHRISTUS HEALTH GULF COAST v. AETNA, INC.

No. 11-0483.

397 S.W.3d 651 (2013)

CHRISTUS HEALTH GULF COAST, et al., Petitioners, v. AETNA, INC. and Aetna Health, Inc., Respondents.

Supreme Court of Texas.

Decided April 19, 2013.


Attorney(s) appearing for the Case

Margaret A. Pollard , Sullins Johnston Rohrbach & Magers PC, Houston, TX, for Amicus Curiae St. Luke's Episcopal Health System.

Michael Klein , Sedgwick LLP, Austin, TX, for Amicus Curiae Texas Association of Health Plans.

Charles W. Bailey , Texas Hospital Association, Austin, TX, for Amicus Curiae.

Donald P. Wilcox , Texas Medical Association, Austin, TX, for Amicus Curiae.

Kevin J. Terrazas , Marc S. Tabolsky , Eric P. Chenoweth , Yetter Coleman, LLP, Brent Taylor Caldwell , Scott M. Cleaman , Clearman Prebeg LLP, Houston, TX, for Petitioners Christus Health Gulf Coast.

Dimitri Zgourides , Kendall M. Gray , John B. Shely , Andrews & Kurth LLP, Houston, TX, for Respondents Aetna, Inc.


Justice WILLETT delivered the opinion of the Court.

The Texas Prompt Pay Statute entitles physicians and providers to swift payment of undisputed healthcare claims. This case asks whether the duty to pay promptly can be shifted from one company to another. Specifically, can several Houston-area hospitals seek prompt-pay penalties against a health maintenance organization (HMO) for nonpayment of medical services provided to patients under contracts the hospitals had...

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