News & Insights


Challenges to Hospital Charges and What Is Reasonable and Customary Payment for Non-Contracted Hospital Care?

Contracts between healthcare providers and commercial payors are increasingly being terminated, either by providers who believe the rates are too low or terms are too onerous, or by payors who believe they can unilaterally determine lower payment rates to out-of-network providers. Hospital charges are also being challenged by class action attorneys representing uninsured patients, claiming that hospital charges cannot be reasonable and customary, and that billing charges to uninsured patients constitutes an unfair business practice.

  • Usual, Customary and Reasonable Payments – This webinar will discuss recent developments in cases dealing with reasonable and customary determinations by courts, juries and arbitrators for out-of-network healthcare providers for emergency and post-stabilization services, and effective ways to challenge low payments by payors. 
  • Patient Class Actions – The webinar will also discuss recent developments in class action cases brought by uninsured patients against hospitals challenging the fees charged by hospitals, and legal strategies for defending these actions.

CLE credit will be applied for in CA, GA, IL, NY, TX and, if needed, NC and VA. Attendees will receive a Uniform Certificate of Attendance via email approximately 30 days after the program to seek CLE credit in other jurisdictions. New York lawyers: This program is considered transitional and non-transitional in content. The interactive webinar format is synchronous and approved for all lawyers. King & Spalding LLP | 1180 Peachtree Street, Atlanta, GA 30309 | CA Provider # 10947.

General information on our practice is available in our electronic publications Serving the Life Sciences Industry and Serving the Healthcare Industry. If you would like to be included on our regular pharmaceutical manufacturers, medical device manufacturers or healthcare provider mailing lists to receive notices of other events and written updates, you can be added by submitting your full contact information to and specifying the list you wish to join.

Event Details

Date: April 24, 2019

Time: 1:00 pm (ET)

Attend This Event

Please register soon. You do not have to be a client to attend, and there is no charge.