River Park Hospital, Inc. v. BlueCross BlueShield of Tennessee, Inc.

OPINION

in which W. FRANK CRAWFORD, P.J., W.S., and ALAN E. HIGHERS, J., joined.

This case involves a dispute over rates paid to a TennCare health care provider. The plaintiff hospital had been a participating provider for the defendant Tenn-Care managed care organization (“MCO”) for several years, being paid an agreed contractual rate for services provided to the MCO’s enrollees. When the parties’ contract expired, it was not renewed. After expiration of the contract, the hospital continued to provide emergency services to the MCO’s enrollees, as it was required to do under federal law. For…