Palmetto v. Health Options


04/16/07 – 04/20/07

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Four pathologist-physcians claimed that health insurer Blue Cross/Blue Shield of Florida, and its HMO, Health Options, failed to pay them for the professional component of clinical pathology, which is the responsibility for supervising the lab.

The plaintiffs asserted that he defendants only would pay for the process of actually reviewing fluids and specimens, and not for the supervisory work and quality assurance procedures that ensured the tests, equipment, and processes were accurate, effective, and in compliance with legal requirements. The plaintiffs claimed damages of $1,546,479.

The defense argued that the physicians are in fact paid for everything they do. According to the defense, the physicians were not charged for the use of the hospital's laboratory and lab equipment. In addition, the hospital provided the four plaintiff physicians with a "monopoly" -- exclusive access to the hospital's lab. In exchange for these benefits, the defendants said, the physicians were expected to maintain the lab, and received ample overall compensation for doing so.

The jury found that the plaintiff sustained damages of $1,546,479.


Damages: 1,546,179


PM Session
Plaintiff Witness(es)
22 Chapters

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