Percentage-based billing contracts are the rule among private practice healthcare practitioners. In speaking with healthcare billing consultants, I learned that these contracts are commonly misunderstood by the government agencies overseeing Medicaid. And such mistakes can have disastrous consequences for the naïve healthcare provider’s practice. If she or he capitulates to the government’s demand to switch to a fee-based billing contract, the practitioner’s business is changed significantly for the worse. And if she or he argues the point, a protracted legal battle ensues because there is no legal precedent to turn to.
a billing company would have to accept whatever the market bears or look for another type of business.
In light of all these facts. I don't see the California case ruling changing anything on a larger scale.