Uriel Pharmacy v. Advocate Aurora Health

Date Filed: May 24, 2022
Status: Pending
District Court: Eastern District of Wisconsin – No. 2:22-cv-00610
Nature of Suit: Antitrust - Anticompetitive Conduct
Defendant Type: Provider
Plaintiff Type: Private
Court Document:

Brought by Uriel Pharmacy, a self-insured employer, the federal lawsuit alleges Advocate forced insurers to enter all-or-nothing and anti-tiering and anti-steering contract terms. In addition, the plaintiffs claim Advocate Aurora uses “a combination of acquisitions, referral restraints, noncompetes and gag clauses to suppress competition from other healthcare providers” and expand its monopoly power. With its must-have hospitals, the health system was able to demand higher prices for its services compared to other providers. The complaint cites the example of the price of joint replacement surgery, which costs $62,538 at Advocate Aurora hospitals, $21,000 higher than the price at a competitor hospital just five minutes away. This case followed the merger of Advocate Health Care and Aurora Health Care in 2018 that created Advocate Aurora, which allegedly gave rise to its substantial market power to demand anticompetitive terms.

Associated Legislation:

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