Michael Furey was quoted in an article, "An inside look at how Horizon used hospital costs – and quality – in plan to change N.J. health care," which was published on NJ.com and also appeared in the July 29 edition of The Star-Ledger under the headline, "Reports: Horizon Skewed Quality, Costs on New Plan." The article focuses on confidential reports and related documents obtained by Advance Local Media, publisher of The Star-Ledger, in connection with a lawsuit brought by three New Jersey-based hospitals alleging Horizon Blue Cross Blue Shield of New Jersey breached its obligations by limiting its selection of Tier 1 hospitals to the largest hospital systems. The materials, prepared by McKinsey & Company, were developed to help Horizon establish a new line of insurance products called OMNIA, which launched in November 2015. According to the article, the three hospitals involved in the ongoing litigation—CentraState Medical Center, Holy Name Medical Center and Valley Hospital—are losing millions of dollars a year and are at risk of having to cut services or merge to stay afloat.
The article reports that McKinsey had initially recommended hospitals other than the large systems be Horizon's partner hospitals because they provided excellent care at average or less than average cost. The plaintiff hospitals were in this group, according to the report. Horizon, however, rejected the recommendation and requested McKinsey not consider a hospital's cost of care in making recommendations. Horizon claimed, according to the report, that the cost of care would be irrelevant to the value based care plan Horizon wanted to introduce. The plaintiff hospitals argue such reasoning allowed Horizon to pick the largest and most expensive hospitals as its OMNIA Alliance and Tier 1 partners, which had always been Horizon's plan. The Tier 2 hospitals tend to be smaller and less expensive.
Furey, who represents the three plaintiff hospitals, told The Star-Ledger it has been three years since OMNIA made its debut, and yet it appears hospitals are still paid the same old way. He questioned, when does the value pricing begin?
Judge Christopher Droney (ret.) and Matthew Austin co-authored the article, "The Investigation and Enforcement Landscape Under the Garland Department of Justice," for the New York Law Journal.
Michael Furey authored the article, "Joint Representations: A Blessing or a Curse?" for the New Jersey Law Journal.
Elizabeth Sher, a partner in the litigation department and General Counsel of the Firm, served as co-editor of the 2021 edition of New Jersey Federal Civil Procedure, the leading treatise on federal practice in New Jersey, published by American Lawyer Media (ALM).
On December 17, Judge Christopher Droney served as a panelist for the Federal Bar Council webinar, "Remote Proceedings Update."
Day Pitney Advisory
Day Pitney Partner Stan Twardy was quoted in the Connecticut Law Tribune article, "This Husband-and-Wife Lawyers Just Landed 2 of the Most Powerful Jobs in Connecticut," regarding the Day Pitney alumna Nora Dannehy being named the Connecticut Governor Ned Lamont's General Counsel and her husband Leonard Boyle being appointed by the U.S. Department of Justice as acting U.S. Attorney in Connecticut.
Christopher Droney was quoted in the Connecticut Law Tribune article, "Gov. Lamont Names Nora Dannehy as His General Counsel," discussing former Day Pitney Attorney Nora Dannehy being named by CT Gov. Lamont as his General Counsel.
Stan Twardy and Christopher Droney were quoted in the Connecticut Law Tribune article, "Meet Lawyers Elevated to Top Spot at U.S. Attorney's Office in Connecticut," regarding the U.S. Department of Justice naming Leonard Boyle as acting U.S. Attorney in Connecticut.
Day Pitney Press Release
Day Pitney Press Release