Common Ground Healthcare Cooperative v. United States

United States Court of Federal Claims·Decided May 19, 2026·No. 17-877·Published

Opinion

IN THE UNITED STATES COURT OF FEDERAL CLAIMS

)

COMMON GROUND HEALTHCARE ) COOPERATIVE, )

)

Plaintiff, ) No. 17-877 )

v. ) Filed: May 19, 2026 )

THE UNITED STATES, )

)

Defendant. )

______________________________________ )

OPINION AND ORDER

Before the Court is Class Counsel’s Motion for Approval of Attorney’s Fees for the Cost-

Sharing Reduction (“CSR”) Claims Settlement. Class Counsel requests that the Court approve an attorney’s fee award of five percent of the net recovery under the approved settlement. Only one class member, Quartz Benefits (“Quartz”), objects to this request. For the reasons that follow, the Court GRANTS Class Counsel’s request for a five-percent attorney’s fee award.

I. BACKGROUND

On June 27, 2017, Class Counsel filed a Class Action Complaint on behalf of Common Ground Healthcare Cooperative (“Common Ground”) and others similarly situated, challenging the Government’s failure to make risk corridors payments to Qualified Health Plan (“QHP”) issuers pursuant to Section 1342 of the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, 124 Stat. 119 (2010), and the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, 124 Stat. 1029 (2010) (collectively, the “ACA”). See Pl.’s Class Action Compl., ECF No. 1. On November 22, 2017, Class Counsel filed a First Amended Class Action Complaint that added a claim under Section 1402 of the ACA for unpaid CSR payments for the 2017 and 2018 benefit years. See Pl.’s First Am. Class Action Compl. ¶¶ 103–07, ECF No. 10.

This fee request pertains to the claim for CSR payments. Congress created the CSR program to lower the expenses associated with health insurance coverage offered to eligible customers by requiring insurers to provide reductions in cost-sharing expenses such as co- payments and deductibles. 42 U.S.C. § 18071. The Secretaries of the Department of Health and Human Services and the Department of the Treasury are required to reimburse the insurers for the reductions they make. Id. §§ 18071(c)(3), 18082(c)(3). The Government stopped making CSR reimbursement payments to issuers in October 2017 after the Attorney General of the United States concluded that such payments were not within any congressional appropriation.

On April 17, 2018, the Court certified the 2017-2018 CSR Class, appointed Common Ground as the class representative, and appointed Quinn Emanuel Urquhart & Sullivan, LLP (“Quinn Emanuel”) as lead counsel for the Class. See Op. & Order, ECF No. 30. On July 23, 2018, Common Ground filed a Motion for Summary Judgment on behalf of the 2017-2018 CSR Class on its claims for unreimbursed CSR payments for the 2017 benefit year and the first two financial quarters of the 2018 benefit year. See Pl.’s Mot. for Summ. J., ECF No. 36. Defendant filed a Cross-Motion to Dismiss & Opposition to Plaintiff’s Motion for Summary Judgment. See Def.’s Cross-Mot. to Dismiss & Opp’n to Pl.’s Mot. for Summ. J., ECF No. 39. The Court granted Plaintiff’s Motion for Summary Judgment and denied the Government’s Motion to Dismiss on February 15, 2019. See Op. & Order, ECF No. 48. Judgment was entered for the 2017-2018 CSR Class in the amount of $1,587,108,397.81 on October 22, 2019. See Rule 54(b) J., ECF No. 72.

Common Ground subsequently filed a Second Amended Class Action Complaint on behalf of the CSR Class on March 22, 2019, adding a claim under Section 1402 for unpaid CSR payments for the 2019 benefit year. See Pl.’s Second Am. Class Action Compl. ¶¶ 112–16, ECF No. 59.

The Court certified the 2019 CSR Class on May 29, 2020, again appointing Common Ground as the class representative and Quinn Emanuel as lead counsel for the class. See Order, ECF No. 90.

After Common Ground filed its Second Amended Complaint, the Government appealed the Court’s order granting Plaintiff’s Motion for Summary Judgment and denying Defendant’s Motion to Dismiss. See Notice of Appeal, ECF No. 74. In a separate but related appeal, Community Health Choice, Inc. v. United States, the United States Court of Appeals for the Federal Circuit found that the Government had an obligation to pay plaintiff-insurers the full CSR amounts owed each year under the statute reduced by “the amount of additional premium tax credit payments that each insurer received as a result of the government’s termination of cost-sharing reduction payments” under a practice known as “silver loading.” 970 F.3d 1364, 1367 (Fed. Cir. 2020). Subsequently, the Federal Circuit affirmed in part, reversed in part, and remanded in part the Court’s decision in this case consistent with their decision in Community Health Choice. See Order, ECF No. 133.

Class Counsel filed a petition for a writ of certiorari to the United States Supreme Court on Common Ground’s behalf, seeking review of the Federal Circuit’s decision to the extent it allowed insurers’ damages to be reduced. See Pet. Writ Cert., Common Ground Healthcare Cooperative v. United States (U.S. Feb. 24, 2021) (No. 20-1200). The Supreme Court denied the petition and also denied the Government’s conditional cross-petition for a writ of certiorari. See Orders List (U.S. June 21, 2021).

Following issuance of the Federal Circuit’s mandate, the parties reported in July 2021 that they had begun settlement negotiations to resolve both the 2017-2018 and 2019 claims. See Joint Status Report at 1, ECF No. 149. As part of those discussions, Class Counsel’s actuarial expert proposed a methodology to the Government for the purpose of settling the CSR claims, and the

parties engaged in substantial back-and-forth negotiations over the next two years. See, e.g., ECF Nos. 157, 160, 162, 164–65, 167–68, 171, 175, 182, 199–201 (joint status reports describing the parties’ efforts to resolve the CSR claims). They reached a tentative agreement on the methodology in September 2023. See Joint Status Report at 1, ECF No. 202. That agreement required gathering “relevant data from plaintiff-insurers from past benefit years in order to calculate whether damages may be owed to a given insurer for a given year.” Id. Most, but not all, class members provided the necessary data to the Government and subsequently reached agreement on settlement amounts. See Joint Status Report at 3, ECF No. 250. The parties then filed a Joint Motion to Divide the two litigation classes (the 2017-2018 CSR Class and the 2019 CSR Class) into four subclasses: (1) the “2017 CSR Subclass,” (2) the “2018 CSR Subclass,” (3) the “2019 CSR Subclass,” and (4) the “Not-Pursuing-Claims-Beyond-2017 Subclass.” See Joint Mot. to Divide the 2017-2018 CSR & 2019 Classes into Subclasses at 2, ECF No. 256. On April 7, 2025, the Court granted the motion, allowing the 2017 CSR Subclass, 2018 CSR Subclass, and 2019 CSR Subclass (collectively, the “Settlement Classes”) to move forward with the parties’ proposed settlement expeditiously, while still enabling the Not-Pursuing-Claims-Beyond-2017 Subclass to resolve their claims if they provided the necessary paperwork. See Order, ECF No. 258.

The Court preliminarily approved the parties’ settlement agreement on September 23, 2025. See Order, ECF No. 285. After giving notice to the Settlement Classes and the opportunity to object or opt out, the Court held a fairness hearing on November 6, 2025. Satisfied that the Settlement Agreement was fair, reasonable, and adequate under Rule 23(e) of the Rules of the United States Court of Federal Claims (“RCFC”) and the fairness factors the Court has historically

considered, the Court granted Common Ground’s motion for final approval of the settlement. See Order, ECF No. 294.

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