Crain’s Detroit Business Quotes Partner Matt Lavin
August 1, 2019
Source: Crain's Detroit Business
Since June 2016, Blue Cross allegedly cut benefits and denied claims related to substance abuse and other behavioral health issues, the lawsuit said.
Napoli Shkolnik Partner Matt Lavin said Blue Cross paid the centers $900 per day for inpatient residential treatment before June 2016, but while the opioid crisis was escalating dropped the per day payment to $150.
“In most cases, the rates paid by (Blue Cross Michigan) for these services are below the actual cost to providers of offering services” and below Medicaid rates, the lawsuit said.
As a result, some of the patients treated at the centers and their families have been presented with surprise bills when they believe that treatment would be covered.