Consultant Report Must Be Turned Over In Suit Over Health Insurer’s Plan

“The Supreme Court has ordered the state’s largest health insurance company to turn over consultant reports and other materials it relied on when establishing its two-tier OMNIA system to hospitals relegated to the second tier. The justices overturned a decision by the Appellate Division that denied the discovery request, rejecting the panel’s conclusion that the broad discovery request was not warranted because the challenge to the OMNIA system lacked merit.”

The article later states, “Jeffrey Greenbaum of Sills Cummis & Gross in Newark, who represented St. Peter’s University Hospital, said he was ‘gratified’ by the Supreme Court ruling, adding that he looks forward to proceeding with discovery, which he hopes will demonstrate that his client was wrongfully excluded from Tier 1 status by Horizon.”