Johns Hopkins Healthcare has sued regional Blue plan CareFirst of Maryland for $2 million, claiming that it owes that sum for claims made since October 2004. Johns Hopkins says that CareFirst, the region's largest health plan, denied or underpaid for nearly 15,000 claims for service performed through April 30. It also claims that CareFirst cut some already-negotiated Medicare reimbursement rates without disclosing those changes, as well as using outdated fee schedules and making mathematical mistakes.
Hopkins is asking the Circuit Court of Baltimore County to address these issues, as well as determine whether CareFirst is the primary payer for members also covered by Medicare or other federally funded health plans.
To learn more about the dispute:
- read this Baltimore Business Journal article