Common Ground Healthcare Cooperative v. United States

CourtUnited States Court of Federal Claims
DecidedMay 19, 2026
Docket17-877
StatusPublished

This text of Common Ground Healthcare Cooperative v. United States (Common Ground Healthcare Cooperative v. United States) is published on Counsel Stack Legal Research, covering United States Court of Federal Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Common Ground Healthcare Cooperative v. United States, (uscfc 2026).

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.

2 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

3 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.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Boeing Co. v. Van Gemert
444 U.S. 472 (Supreme Court, 1980)
Hensley v. Eckerhart
461 U.S. 424 (Supreme Court, 1983)
Gisbrecht v. Barnhart
535 U.S. 789 (Supreme Court, 2002)
In Re Washington Public Power Supply System Securities Litigation. Class Chemical Bank, in Its Representative Capacity as Trustee for Bondholders, and Bernstein, Litowitz, Berger & Grossman Milberg, Weiss, Bershad, Specthrie & Lerach Molloy, Jones & Donahue, P.C. v. City of Seattle Oregon Public Entities, Benton Rural Electric Association, Washington Washington Public Power Supply System R.W. Beck and Associates Ebasco Services Incorporated United Engineers & Constructors, Inc. Director Participants' Committee Public Utility District No. 1, of Klickitat County United States of America, on Behalf of Itself and Its Agency, the Bonneville Power Administration State of Washington Bonneville Power Administration, Class and Lawrence Laub v. Continental Assurance Company v. City of Seattle Oregon Public Entities, Benton Rural Electric Association, Washington Washington Public Power Supply System R.W. Beck and Associates Ebasco Services Incorporated United Engineers & Constructors, Inc. Director Participants' Committee Public Utility District No. 1, of Klickitat County United States of America, on Behalf of Itself and Its Agency, the Bonneville Power Administration State of Washington Bonneville Power Administration, Class and Continental Assurance Company v. Berger & Montague, P.A. v. City of Seattle Oregon Public Entities, Benton Rural Electric Association, Washington Washington Public Power Supply System R.W. Beck and Associates Ebasco Services Incorporated United Engineers & Constructors, Inc. Director Participants' Committee Public Utility District No. 1, of Klickitat County United States of America, on Behalf of Itself and Its Agency, the Bonneville Power Administration State of Washington Bonneville Power Administration
19 F.3d 1291 (Ninth Circuit, 1994)
In Re: Cendant Corporation Litigation
264 F.3d 201 (Third Circuit, 1992)
In the Matter Of: Synthroid Marketing Litigation
264 F.3d 712 (Seventh Circuit, 2001)
Sharon Raulerson v. United States
108 Fed. Cl. 675 (Federal Claims, 2013)
McDaniel v. County of Schenectady
595 F.3d 411 (Second Circuit, 2010)
Conley v. Sears, Roebuck & Co.
222 B.R. 181 (D. Massachusetts, 1998)
Laborers Local 1298 Annuity Fund Ex Rel. Rite Aid Corp. v. Grass
146 F. Supp. 2d 706 (E.D. Pennsylvania, 2001)
In Re Rite Aid Corp. Securities Litigation
269 F. Supp. 2d 603 (E.D. Pennsylvania, 2003)
In Re Austrian & German Bank Holocaust Litigation
80 F. Supp. 2d 164 (S.D. New York, 2000)
In Re Black Farmers Discrimination Litigation
953 F. Supp. 2d 82 (District of Columbia, 2013)
Lambert v. United States
124 Fed. Cl. 675 (Federal Claims, 2015)
Haggart v. United States
809 F.3d 1336 (Federal Circuit, 2016)
Community Health Choice, Inc. v. United States
970 F.3d 1364 (Federal Circuit, 2020)
Moore v. United States
63 Fed. Cl. 781 (Federal Claims, 2005)
Goldberger v. Integrated Resources, Inc.
209 F.3d 43 (Second Circuit, 2000)

Cite This Page — Counsel Stack

Bluebook (online)
Common Ground Healthcare Cooperative v. United States, Counsel Stack Legal Research, https://law.counselstack.com/opinion/common-ground-healthcare-cooperative-v-united-states-uscfc-2026.