Aetna Health Inc. v. Radiology Partners, Inc.
M.D. Fla. → 11th Cir. · Updated
Summary
Aetna alleged that Radiology Partners routed claims through an out-of-network Florida practice to win inflated IDR awards. On April 16, 2026, the Middle District of Florida dismissed the amended complaint with prejudice: the alleged fraud was discoverable before or during IDR, and the remaining claims were preempted. Aetna appealed to the Eleventh Circuit, where briefing is under way.
Timeline of rulings
- 11th Cir.
Appellees' response brief filed; appeal pending.
- M.D. Fla.
Notice of appeal to the Eleventh Circuit filed by Aetna.
Read the ruling - M.D. Fla.
Motion to dismiss granted with prejudice; fraud was discoverable with due diligence before or during IDR, so vacatur unavailable; remaining claims preempted by the NSA and FAA.
Read the ruling
Why it matters
The ruling applies the Eleventh Circuit's narrow FAA vacatur standard to a payer's fraud theory and signals that objections a payer could have raised before the IDR entity may not support a later lawsuit.
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Sources
General information only, not legal advice. Verdict Consulting Group is not a law firm.