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Market Intelligence Resource | July 7, 2016

St. Gregory Retreat Center LLC v. Wellmark, Inc.

On May 26, 2016, St. Gregory Retreat Centers LLC in Iowa sued Wellmark, a Blue Cross and Blue Shield affiliate in Iowa over Wellmark’s tactics to avoid paying for pre-authorized residential and outpatient addiction treatment. The plaintiffs allege that Wellmark's reimbursement policies violate the Mental Health Parity and Addiction Equity Act and that Wellmark is in breach of its network contracts . . .

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