Media Contact:
Steve Amendo
Chief Marketing and Communications Officer
Martin’s Point Health Care
[email protected]

March 13, 2024

FOR IMMEDIATE RELEASE

Martin’s Point vigorously disputes decades-old allegations

(Portland, Maine) Martin’s Point is proud of its four-decade history as one of six community-based health plans (Designated Providers) providing access to high quality healthcare for military personnel and their family members through the Uniformed Services Family Health Services Plan (USFHP). Martin’s Point is profoundly disappointed that the Department of Justice (DOJ) has chosen to file a lawsuit against all six Designated Providers and Martin’s Point will vigorously defend itself.

This dispute is about contracted rates paid more than 12 years ago. The Government and Martin's Point agreed on those rates. Now, the Government has alleged that it made forecasting errors when negotiating those rates more than 12 years ago.

The Government paid Martin’s Point exactly the amounts that were negotiated and agreed to, no more. Martin’s Point provided the services it agreed to provide in reliance on those agreed-to rates. The Government is now demanding a refund of a portion of the rates that it had expressly agreed to pay, arguing more than 12 years after the fact that the plans should repay the Government for errors the Government itself made in calculating the rates.

Martin’s Point is confident that the evidence in this case will show that Martin’s Point met its obligations under the USFHP contract and did not receive an overpayment.

The issue had no impact on any benefits or services received by Martin’s Point USFHP members and did not impact the amounts members ultimately paid for those services.

As a community-based, not-for-profit organization, Martin’s Point has served as a strong partner to the Department of Defense and the USFHP members for 40 years. In fact, the Government has twice renewed its 10-year contract with Martin’s Point, first in 2013 and again in 2023. The most recent 2023 renewal extends the availability of the USFHP program through 2033.

This lawsuit will not affect Martin’s Point’s ability to continue to provide outstanding care to its patients or members now or in the future. This matter has nothing to do with Martin’s Point’s health care centers or its Generations Advantage Medicare Advantage plans and there will be no impact to the benefits or services that Martin’s Point provides to any of its patients or members.

Click here for a PDF version of this statement.

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