--- title: "Medicare Advantage 340B Underpayment Settlements: What the Public Record Reveals" description: "Medicare Advantage 340B Underpayment Settlements: What the Public Record Reveals\nOne of the largest reimbursement issues affecting 340B hospitals today remains largely invisible to the public." image: https://public.govdataservices.com/hubfs/Front%20of%20an%20old%20greek%20or%20roman%20style%20law%20building.jpeg --- [Skip to content](https://public.govdataservices.com/the-scoop/medicare-advantage-340b-underpayment-settlements-what-the-public-record-reveals#main-content) Close - [Services](https://public.govdataservices.com/services-page) - [Medicare DSH](https://public.govdataservices.com/medicare-dsh) - [SSI Realignment](https://govdataservices-21378692.hs-sites.com/medicare-dsh#SSI) - [340B MA Underpayments](https://public.govdataservices.com/340b-medicare-advantage-underpayments) - [Medicare Bad Debt](https://public.govdataservices.com/medicare-bad-debt) - [Worksheet S-10 Uncompensated Care](https://public.govdataservices.com/s-10) - [Transfer DRG](https://public.govdataservices.com/transfer-drg) - [Medicare ID & Shadow Billing](https://public.govdataservices.com/medicare-id-shadow-billing) - [MBI ID Finder](https://public.govdataservices.com/mbi-id-finder) - [MIDaS Insurance ID](https://public.govdataservices.com/midas-insurance-id) - [Annual Wellness Visit](https://public.govdataservices.com/annual-wellness-visit) - [Eligibility & Other Services](https://public.govdataservices.com/eligibility-and-other) - [Bundle & Save](https://public.govdataservices.com/bundle-and-save) - [Demo](https://public.govdataservices.com/demo-diagnostics-review) - Resources - [Links](https://public.govdataservices.com/links) - [Blog](https://public.govdataservices.com/the-scoop) - [Contact Us](https://public.govdataservices.com/contact-us) SEARCH [Client Login](https://www.govdataservices.com/gdswebsite/DesktopDefault.aspx) [![GDSlogo\_avenir\_2](https://public.govdataservices.com/hs-fs/hubfs/GDSlogo_avenir_2.png?width=1194&height=340&name=GDSlogo_avenir_2.png)](https://public.govdataservices.com/) - [Services](https://public.govdataservices.com/services-page) - [Medicare DSH](https://public.govdataservices.com/medicare-dsh) - [SSI Realignment](https://govdataservices-21378692.hs-sites.com/medicare-dsh#SSI) - [340B MA Underpayments](https://public.govdataservices.com/340b-medicare-advantage-underpayments) - [Medicare Bad Debt](https://public.govdataservices.com/medicare-bad-debt) - [Worksheet S-10 Uncompensated Care](https://public.govdataservices.com/s-10) - [Transfer DRG](https://public.govdataservices.com/transfer-drg) - [Medicare ID & Shadow Billing](https://public.govdataservices.com/medicare-id-shadow-billing) - [MBI ID Finder](https://public.govdataservices.com/mbi-id-finder) - [MIDaS Insurance ID](https://public.govdataservices.com/midas-insurance-id) - [Annual Wellness Visit](https://public.govdataservices.com/annual-wellness-visit) - [Eligibility & Other Services](https://public.govdataservices.com/eligibility-and-other) - [Bundle & Save](https://public.govdataservices.com/bundle-and-save) - [Demo](https://public.govdataservices.com/demo-diagnostics-review) - Resources - [Links](https://public.govdataservices.com/links) - [Blog](https://public.govdataservices.com/the-scoop) - [Contact Us](https://public.govdataservices.com/contact-us) [Client Login](https://www.govdataservices.com/gdswebsite/DesktopDefault.aspx) [Chris Cusimano](https://public.govdataservices.com/the-scoop/author/chris-cusimano) Jun 10, 2026, 10:43:33 AM 3 min read # Medicare Advantage 340B Underpayment Settlements: What the Public Record Reveals [Previous](https://public.govdataservices.com/the-scoop/cms-ffy-2027-inpatient-pps-proposed-rule) [Next](https://public.govdataservices.com/the-scoop/cms-ffy-2027-outpatient-pps-proposed-rule) One of the largest reimbursement issues affecting 340B hospitals today remains largely invisible to the public. Litigation involving provider claims for Medicare Advantage 340B underpayments has frequently been concluded in settlement before trial. While the public record provides some visibility into these disputes, the overall picture remains incomplete because arbitration proceedings—where many disputes are resolved—are generally confidential and unavailable for public review. Several recent cases listed at the end of this article contain docket entries indicating that settlements were reached, or were pending final stipulation, or very similar outcomes. Because most settlements and arbitrations remain confidential or sealed, hospitals and other 340B providers have limited access to information about how similar organizations have pursued and resolved underpayment claims. As a result, many providers may not fully appreciate the scale of recoveries that have occurred across the industry. One notable exception is case 2:25-cv-142 (Forrest General Health Services, Inc. Et Al V. Healthspring Of Tennessee, Inc. Et Al) where court filings included the settlement documentation including the amount of a separate action, 25CV007370 (St. Joseph's/Candler Health System, Inc. v. Aetna Health, Inc.) Another matter, 2:24-cv-77 (The Health Care Authority For Baptist Health, An Affiliate Of UAB Health System V. Health Value Management, Inc. Et Al) appears to have been resolved through settlement based on publicly available reporting. GDS has prepared hundreds of 340B MA damages analyses for arbitration and litigation matters involving Medicare Advantage reimbursement disputes. In many instances, cases have settled shortly before GDS expert testimony or formal damages arguments were due. Multiple nationally recognized law firms continue to pursue these claims on behalf of providers, and the trend of pre-trial settlements appears to be continuing. Despite the billions of dollars potentially at stake, Medicare Advantage 340B underpayments remain one of the least understood and least publicly discussed reimbursement issues facing American healthcare providers today. 2:24cv1691 Board Of Trustees Of The University Of Alabama For The University Of Alabama Hospital, The V. Unitedhealthcare Of Alabama Inc Et Al 5:24-cv-4067 Stormont-Vail Healthcare, Inc. V. Humana Inc. Et Al 5:24-cv-4047 Stormont-Vail Healthcare Inc. V. United Healthcare Services, Inc. Et Al 4:25-cv-104 University Health Systems Of Eastern Carolina, Inc. Et Al V. Aetna Health, Inc. 24CV001730-630 NASH HOSPITALS INC VS UNITEDHEALTHCARE OF NC 1:25-cv-172 Blue Ridge Healthcare Hospitals, Inc. V. Humana Insurance Company Et Al 5:25-cv-124 Catawba Valley Health System V. Health Value Management, Inc. 1:25-cv-462 University Of North Carolina Health Care System Et Al V. Humana Health Plan, Inc. Et Al ![avatar](https://public.govdataservices.com/hs-fs/hubfs/chriscusimano.jpg?width=290&name=chriscusimano.jpg) #### [Chris Cusimano](https://public.govdataservices.com/the-scoop/author/chris-cusimano) ## RELATED ARTICLES ### [Chris Cusimano Dec 12, 2024, 1:06:06 PM 3 min read Examining Medicare DSH Qualification and 340b Status Post Medicaid Redetermination The resumption of Medicaid redeterminations is having a substantial impact on Medicare DSH and 340B hospitals. Hospitals are at ... Start Reading](https://public.govdataservices.com/the-scoop/examining-medicare-dsh-qualification-and-340b-status-post-medicaid-redetermination) ### [Chris Cusimano Aug 30, 2023, 3:42:31 PM 2 min read 340B Remedy: Action Items from Client Analysis & Attorney Discussions In July, GDS blogged about the proposed remedy for the well-known illegal 340B payment policy. Subsequently, client demand ... Start Reading](https://public.govdataservices.com/the-scoop/340b-remedy-action-items-from-client-analysis-attorney-discussions) ### [Chris Cusimano Jul 10, 2023, 12:12:11 PM 1 min read CMS Releases Proposed Rule: Remedy for the 340B-Acquired Drug Payment Policy for Calendar years 2018-2022 CMS Releases Proposed Rule: Remedy for the 340B-Acquired Drug Payment Policy for Calendar years 2018-2022. Start Reading](https://public.govdataservices.com/the-scoop/remedy-for-the-340b-acquired-drug-payment-policy-for-calendar-years-2018-2022) [![gds-logo-1](https://public.govdataservices.com/hs-fs/hubfs/gds-logo-1.png?width=500&height=150&name=gds-logo-1.png)](https://public.govdataservices.com/) **Get in Touch** Government Data Services 3200 W. Market St., Ste. 102 Akron, OH 44333-3324 Government Data Services 117 Seaboard Lane, F270 Franklin, TN 37067 Toll Free: (800) 370-7397 Email: [info@govdataservices.com](mailto:info@govdataservices.com) ![soc](https://public.govdataservices.com/hs-fs/hubfs/soc.jpg?width=44&name=soc.jpg)[![digicert](https://public.govdataservices.com/hs-fs/hubfs/digicert.png?width=117&name=digicert.png)](https://seal.digicert.com/seals/popup/?tag=VtfrmabA&url=www.govdataservices.com) © 2026 - Government Data Services LLC. All rights reserved - [Site Use Agreement](https://public.govdataservices.com/terms-of-use) - [Confidentiality and Privacy](https://public.govdataservices.com/privacy) ```json { "@context" : "http://schema.org", "@type" : "Organization", "knowsLanguage" : "en", "name" : "", "url" : "https://public.govdataservices.com/the-scoop/medicare-advantage-340b-underpayment-settlements-what-the-public-record-reveals" } ``` ```json { "@context" : "http://schema.org", "@type" : "BlogPosting", "abstract" : "Medicare Advantage 340B Underpayment Settlements: What the Public Record Reveals One of the largest reimbursement issues affecting 340B hospitals today remains largely invisible to the public.", "author" : { "@type" : "Person", "name" : "Chris Cusimano" }, "dateModified" : "June 10, 2026 2 PM", "datePublished" : "June 10, 2026 2 PM", "headline" : "Medicare Advantage 340B Underpayment Settlements: What the Public Record Reveals", "image" : "https://21378692.fs1.hubspotusercontent-na1.net/hubfs/21378692/Front%20of%20an%20old%20greek%20or%20roman%20style%20law%20building.jpeg", "inLanguage" : "en", "keywords" : "[340B, Legal News]", "mainEntityOfPage" : { "@type" : "WebPage" }, "name" : "Medicare Advantage 340B Underpayment Settlements: What the Public Record Reveals", "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "" }, "name" : "" }, "text" : "One of the largest reimbursement issues affecting 340B hospitals today remains largely invisible to the public. Litigation involving provider claims for Medicare Advantage 340B underpayments has frequently been concluded in settlement before trial. While the public record provides some visibility into these disputes, the overall picture remains incomplete because arbitration proceedings—where many disputes are resolved—are generally confidential and unavailable for public review. Several recent cases listed at the end of this article contain docket entries indicating that settlements were reached, or were pending final stipulation, or very similar outcomes. Because most settlements and arbitrations remain confidential or sealed, hospitals and other 340B providers have limited access to information about how similar organizations have pursued and resolved underpayment claims. As a result, many providers may not fully appreciate the scale of recoveries that have occurred across the industry. One notable exception is case 2:25-cv-142 (Forrest General Health Services, Inc. Et Al V. Healthspring Of Tennessee, Inc. Et Al) where court filings included the settlement documentation including the amount of a separate action, 25CV007370 (St. Joseph's/Candler Health System, Inc. v. Aetna Health, Inc.) Another matter, 2:24-cv-77 (The Health Care Authority For Baptist Health, An Affiliate Of UAB Health System V. Health Value Management, Inc. Et Al) appears to have been resolved through settlement based on publicly available reporting. GDS has prepared hundreds of 340B MA damages analyses for arbitration and litigation matters involving Medicare Advantage reimbursement disputes. In many instances, cases have settled shortly before GDS expert testimony or formal damages arguments were due. Multiple nationally recognized law firms continue to pursue these claims on behalf of providers, and the trend of pre-trial settlements appears to be continuing. Despite the billions of dollars potentially at stake, Medicare Advantage 340B underpayments remain one of the least understood and least publicly discussed reimbursement issues facing American healthcare providers today. 2:24cv1691 Board Of Trustees Of The University Of Alabama For The University Of Alabama Hospital, The V. Unitedhealthcare Of Alabama Inc Et Al 5:24-cv-4067 Stormont-Vail Healthcare, Inc. V. Humana Inc. Et Al 5:24-cv-4047 Stormont-Vail Healthcare Inc. V. United Healthcare Services, Inc. Et Al 4:25-cv-104 University Health Systems Of Eastern Carolina, Inc. Et Al V. Aetna Health, Inc. 24CV001730-630 NASH HOSPITALS INC VS UNITEDHEALTHCARE OF NC 1:25-cv-172 Blue Ridge Healthcare Hospitals, Inc. V. Humana Insurance Company Et Al 5:25-cv-124 Catawba Valley Health System V. Health Value Management, Inc. 1:25-cv-462 University Of North Carolina Health Care System Et Al V. Humana Health Plan, Inc. Et Al", "url" : "https://public.govdataservices.com/the-scoop/medicare-advantage-340b-underpayment-settlements-what-the-public-record-reveals", "wordCount" : "513" } ``` ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Chris Cusimano", "url" : "https://public.govdataservices.com/the-scoop/author/chris-cusimano" }, "dateModified" : "2026-06-10T14:46:28.513Z", "datePublished" : "2026-06-10T14:43:33.000Z", "headline" : "Medicare Advantage 340B Underpayment Settlements: What the Public Record Reveals", "image" : [ "https://public.govdataservices.com/hubfs/Front%20of%20an%20old%20greek%20or%20roman%20style%20law%20building.jpeg" ], "mainEntityOfPage" : { "@id" : "https://public.govdataservices.com/the-scoop/medicare-advantage-340b-underpayment-settlements-what-the-public-record-reveals", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject" } } } ```