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Plaintiffs Ask 3rd Circuit To Reverse Denial Of Injunction In Birth Control Case
PHILADELPHIA - Plaintiffs challenging the "birth control mandate" contained in the Patient Protection and Affordable Care Act (PPACA) asked the Third Circuit U.S. Court of Appeals on March 15 to...
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High Court: Plan Terms Govern ERISA Reimbursement Action Based On Equitable Lien
WASHINGTON, D.C. - The U.S. Supreme Court on April 16 ruled that a health plan administrator's claim for reimbursement against a plan participant under Employee Retirement Income Security Act Section...
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Louisiana Federal Judge Grants Remand In Health Care Reimbursement Dispute
LAFAYETTE, La. - A Louisiana federal judge on April 4 granted a motion to remand in a class action health care reimbursement case, saying that one of the defendants was not fraudulently joined and that...
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N.Y. Federal Judge Denies Remand, Motion To Sever Claims In Reimbursement Case
NEW YORK - A New York federal judge on March 26 denied two hospitals' motion to remand a reimbursement suit to state court, saying the Employee Retirement Income Security Act preempted the claims and...
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Wisconsin Federal Judge: Plaintiff Failed To Join Proper Party In Health Care...
GREEN BAY, Wis. - A Wisconsin federal judge on April 10 held that a plaintiff in a health care payment determination case failed to join the beneficiary as a necessary party to the action (VHC Inc. as...
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Insurer's Conclusion That Autism Therapy Is Experimental Is Arbitrary, Judge...
DETROIT - A health insurer arbitrarily and capriciously denied coverage for applied behavioral analysis (ABA) therapy for autism based on the plan's exclusion for experimental treatment under the...
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Plan Administrator Didn't Breach Fiduciary Duties In Mental Health Parity Case
SEATTLE - A health plan administrator did not breach its fiduciary duties under the Employee Retirement Income Security Act by failing to modify its coverage certificates to reflect a court order that...
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N.D. Supreme Court Affirms Medical Providers Not Liable For Lawsuit Expenses
BISMARCK, N.D. - The North Dakota Supreme Court on April 4 affirmed summary judgment in favor of health care providers in a suit in which plaintiffs were seeking reimbursement for expenses and...
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Louisiana Federal Judge Affirms Denial Of Benefits, Says Plan Excluded Coverage
LAFAYETTE, La. - A Louisiana federal judge on April 11 granted summary judgment in favor of a health insurance company in a wrongful denial of benefits case, agreeing with the insurer that the plan...
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Health Insurers Ordered To Pay $500M Punitive Damages In Nev. Hepatitis C...
LAS VEGAS - A Nevada state court jury on April 9 ordered two health insurers to pay $500 million in punitive damages to three plaintiffs who claim that the defendants' actions contributed to them or a...
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Supreme Court Denies Certiorari; Provider Can Sue For Avandia-Related Expenses
WASHINGTON, D.C. - The U.S. Supreme Court on April 15 denied a petition for writ of certiorari filed by GlaxoSmithKine PLC (GSK), leaving stand a decision allowing a Medicare Advantage provider to seek...
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California Federal Judge Grants Defendants Summary Judgment In Drug-Pricing Case
SAN FRANCISCO - A California federal judge on March 28 granted summary judgment in favor of the defendants accused of engaging in a conspiracy to inflate the amount that Virginia's Medicaid program...
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9th Circuit Affirms, Reverses Decision In Medicaid Payment Calculation Case
SAN FRANCISCO - A Ninth Circuit U.S. Court of Appeals panel on April 4 affirmed in part and reversed in part the dismissal of two federally funded health care clinics' actions alleging that the...
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Oklahoma Federal Judge Remands Medicare Reimbursement Dispute
OKLAHOMA CITY - An Oklahoma federal judge on April 4 remanded to the U.S. Department of Health and Human Services a Medicare reimbursement case, finding that an appeals board erred in determining that...
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Illinois Federal Judge Dismisses Medicare Suit For Lack Of Jurisdiction
CHICAGO - An Illinois federal judge on April 12 granted a defense motion to dismiss a Medicare dispute for lack of jurisdiction (Columbus Park Nursing and Rehabilitation Center v. Kathleen Sebelius,...
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Medicare Qui Tam Action Dismissed; Claims Barred By Public Disclosure
NASHVILLE, Tenn. - A Tennessee federal judge on April 5 dismissed a qui tam action brought by a state resident who accused local medical clinics of offering illegal inducements to Medicare...
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New York Federal Judge Allows False Claims Suit To Proceed Against Americare
BROOKLYN, N.Y. - A federal judge in the U.S. District Court for the Eastern District of New York on April 3 partially granted a motion to dismiss a federal and New York state False Claims Act (FCA)...
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Government Asks 4th Circuit To Find Act Bars Challenge To Health Act Provision
RICHMOND, Va. - The federal government on April 4 asked the Fourth Circuit U.S. Court of Appeals to find that the Anti-Injunction Act (AIA) bars a pre-enforcement challenge to the employer...
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Catholic Groups Ask D.C. Appeals Court To Reverse Dismissal Of Case
WASHINGTON, D.C. - Plaintiffs challenging a provision in the Patient Protection and Affordable Care Act (PPACA) mandating that all health plans provide preventive services for free, including those for...
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Indiana Federal Judge Grants Preliminary Injunction In Birth Control Suit
SOUTH BEND, Ind. - An Indiana federal judge on April 1 granted a construction company's motion for a preliminary injunction in its case challenging a provision in the Patient Protection and Affordable...
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