Health Law & Business News

Kaiser Health Plan Can’t Force Contract on Hawaii Hospital

Nov. 1, 2019, 6:56 PM

There is no implied contract between Kaiser Foundation Health Plan and the Queen’s Medical Center Inc. that would cover the amount the hospital can bill Kaiser members for emergency care, the District of Hawaii said.

Kaiser had a contract with QMC to pay for emergency care and other services provided to Kaiser’s members. The contract expired May 30, and the parties weren’t able to agree on a new one, the court said, dismissing the insurer’s complaint.

No implied-in-fact contract existed relating to the provision of emergency care services because it was plain from their correspondence that the two hadn’t mutually...

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