Glenn
Solomon

Represented California Hospital Association, California Medical Association, Regional Medical Center of San Jose, and Good Samaritan Hospital as amici in County of Santa Clara v. Sup. Ct., 14 Cal.5th 1034 (2023), in which the California Supreme Court, reversing a lower court decision, held that government owned health plans are subject to the Knox-Keene Act and lawsuits for reimbursement by out-of-network providers; potential impact exceeds hundreds of millions of dollars for California out-of-network providers.

Represented CEP America California dba Vituity against Heritage Provider Network regarding underpayments for out-of-network emergency physician services at many hospitals, resulting in jury award in April 2023, against the health plan on claims exceeding $10 million.

Represented California Hospital Association, California Medical Association, and a plaintiff class of California hospitals against Blue Cross regarding post-claims underwriting; court-approved settlement pool of $11.8 million for the benefit of all California hospitals that were affected by Blue Cross’s rescissions of patient policies.

Represented plaintiff's class of California Ambulatory Surgery Centers against United Healthcare, Ingenix (now Optum) and dozens of self-funded plans regarding out-of-network payments; class settlement reached for $9.5 million for the benefit of California ASCs.

Represented Children's Hospital Central California against Blue Cross of California in which appeals court held that the parties can present to the jury ona variety of evidence, includingthe hospital's charges, contracted rates and government rates, but not the costs to render the services at issue.

Jury verdict for Children's Hospital Central California determining plan was liable at 100% of charges for post-stabilization services rendered by hospital when plan failed to transfer Medi-Cal managed care beneficiaries to alternative providers; jury rejected plan's argument that hospital had not received authorization or been deemed authored.

Represented California Hospital Association, plus a national dialysis provider and a putative class of ambulatory surgery centers nationwide, in obtaining court order that national class action settlement agreement regarding United’s reimbursement practices to non-contracted physicians doesn’t bar facilities from pursuing underpayment claims for facility services.

Represented C/HCA, Inc. in federal court to obtain preliminary injunction against Regence Blue Cross Blue Shield of Utah from marketing the hospitals as being in-network providers for new tiered network product that was not contemplated by the parties’ contract.

Represented Coast Plaza Doctors Hosp. against an Anthem Blue plan in appeals court decision that providers aren’t preempted from pursuing direct state law claims against non-self-funded ERISA health plans and can sue such plans, rather than as assignees of the patient’s ERISA benefits.

Represented Mount Diablo Medical Center in successful defeat of Health Net of California's motion to compel arbitration where dispute also involved the health plan's entity who was not subject to arbitration in multiparty capitation network dispute.

Represented prominent psychiatric hospitals in complex negotiations with the city of Los Angeles for a pre-filing settlement and stipulated judgment to resolve allegations of improper psychiatric patient discharges and then develop patient safety standards with the city for wider use as part of a year-long collaborative task force.

Represented a number of prominent non-profit hospitals in class action defense against uninsured patients challenging various charges and billing practices.

In addition to these and other public court matters, Mr. Solomon often resolves matters outside the court system, through settlement negotiations, mediations and arbitrations for providers throughout the country. Over the course of his career he has worked on matters collectively generating several hundred million dollars for his provider clients in additional revenue from underpayments and avoided recoupment of similar amounts in alleged overpayments.