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California Appeals Court Affirms Health Insurer Properly Denied Benefits
LOS ANGELES - In an unpublished opinion, a California appeals court on March 5 affirmed that a health insurance company properly denied benefits for treatments related to the plaintiff's autoimmune...
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Federal Judge Denies Class Certification In Dentists' Reimbursement Case
SAN JUAN, Puerto Rico - A Puerto Rico federal judge on March 13 declined to grant class certification in a reimbursement suit brought by dentists and their employer against multiple health insurers,...
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Participant Sues Over Denial Of Coverage To Same-Sex Spouse
PHILADELPHIA - A participant in a multiemployer welfare plan on Feb. 11 sued the plan and his employer, alleging that the plan's refusal to cover his same-sex spouse violated the terms of the plan and...
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Supreme Court Declines Review Of Medicare Reimbursement Suit
WASHINGTON, D.C. - The U.S. Supreme Court on March 18 denied a petition for writ of certiorari brought by psychiatric providers alleging that they were not fully reimbursed for services provided to...
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Ruling In Medicare Case Leaves Claims Against 1 Facility, Individual Doctors
CHICAGO - An Illinois judge on March 6 dismissed two medical facilities from a Medicare and Medicaid fraud case but left claims against a third facility and individual doctors (Robert S. Goldberg,...
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Federal Judge Declines To Dismiss Medicaid Dispute; Claims Sufficiently Pleaded
CHICAGO - An Illinois federal judge on March 4 denied a motion to dismiss made by a managed care organization in a Medicaid fraud case, saying the plaintiffs met pleading standards for false claims...
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6th Circuit Finds No Error In Decision To Vacate Sanctions Ruling
CINCINNATI - A federal judge in Tennessee did not err in vacating an order imposing sanctions against the state's Medicaid program after he was assigned to the case, a Sixth Circuit U.S. Court of...
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Texas Federal Judge Says Ceiling Lift Outside Scope Of Medicaid Benefits
DALLAS - A federal judge in Texas on March 13, denied a motion for summary judgment filed by four disabled Medicaid beneficiaries and granted a motion for summary judgment by the Texas Health and Human...
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Federal Judge Finds Annuity Payments Aren't Countable In Medicaid Eligibility
JONESBORO, Ark. - A federal judge in the Arkansas on March 13 held that annuity payments to a noninstitutionalized spouse are considered income to that spouse and cannot be counted when determining the...
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UnitedHealth Group Divisions Sued For Insufficient Mental Illness Coverage
NEW YORK - The New York State Psychiatric Association Inc. and several of its patients filed a class complaint March 11 in New York federal court accusing several divisions of a health insurer,...
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Missouri Federal Judge Finds State Contraceptive Law Conflicts With Federal Law
ST. LOUIS - A Missouri federal judge on March 14 held that a state law regulating the coverage of contraceptives directly conflicts with the "birth control mandate" contained in the federal Patient...
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Mich. Federal Judge Grants Preliminary Injunction In Birth Control Mandate Case
DETROIT - A Michigan federal judge on March 14 granted a preliminary injunction in a suit brought by a property management company and the company's owner challenging a mandate contained in the Patient...
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Pennsylvania Federal Judge Partially Dismisses Claims In Birth Control...
PITTSBURGH - A Pennsylvania federal judge on March 6 partially granted the federal government's motion to dismiss claims brought by a private, nonprofit college, two for-profit entities and the owners...
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Plaintiffs Seek Injunction To Halt Implementation Of Birth Control Mandate
PITTSBURGH - Plaintiffs challenging the "birth control" mandate contained in the Patient Protection and Affordable Care Act (PPACA) asked a Pennsylvania federal judge on March 11 for a preliminary...
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6th Circuit Dismisses Appeal Of Birth Control Mandate Suit At Plaintiffs'...
CINCINNATI - The Sixth Circuit U.S. Court of Appeals on Feb. 28 dismissed a challenge to the contraception mandate contained in the Patient Protection and Affordable Care Act (PPACA) at the request of...
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Plaintiffs Ask 8th Circuit To Reverse Decision In Birth Control Mandate Suit
ST. LOUIS - A manufacturer of medical devices asked the Eighth Circuit U.S. Court of Appeals on March 7 reverse a lower court's decision denying a preliminary injunction in its suit challenging the...
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Government Urges 7th Circuit To Affirm Denial Of Injunction In Birth Control...
CHICAGO - The federal government on March 1 urged the Seventh Circuit U.S. Court of Appeals to affirm a lower court decision denying a preliminary injunction in a case brought by a construction company...
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Federal Judge: Plaintiff Can Bring Denial Of Benefits Suit In Court
PORTLAND, Ore. - An Oregon federal judge on March 8 denied a health insurer's motion for summary judgment in a denial of benefits suit, saying a plaintiff could bring her claims in court because a...
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Briefs In Class Arbitration Dispute Submitted To U.S. Supreme Court
WASHINGTON, D.C. - An arbitrator acted well within his authority when he determined that a dispute over a health insurer's reimbursement of physicians' claims may proceed as a class arbitration, a...
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Oklahoma Federal Judge Awards $65,000 In Denial Of Benefits Case
OKLAHOMA CITY - An Oklahoma federal judge on March 8 awarded a plaintiff $65,000 in medical benefits in a wrongful denial of benefits case, saying a health insurer could not change the reasons it...
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