Lawsuit May Dissuade Tenn. Lawmakers from Cutting TennCare Funding
- Five-star system key to MedPlus' success. Ortega, P.J. // Caribbean Business;6/18/1998, Vol. 26 Issue 24, p42
Focuses on services offered by MedPlus Insurance Services Incorporated in Puerto Rico, as it relates to manage care. Reference to the relocation of the company; Details on a five star system offered by the company; What the five star approach focuses on; Number of claims processed monthly by...
- California ballot measures decided. // Best's Review / Life-Health Insurance Edition;Dec96, Vol. 97 Issue 8, p12
Reports that a majority of California's voters in November 1996 decided in favor of restricting lawsuits and keeping health insurance costs down. Reactions from insurers; Measures rejected by voters.
- Stepchildren Denied Health Coverage Under Terms of Plan. // Legal-Legislative Reporter;Jul2007, Vol. 41 Issue 7, p12
The article discusses a court case wherein the U.S. District Court for the Easter District of Wisconsin upheld the defendant-administrator's decision to deny the participant's stepchildren to avail of medical benefits. The company's denial letter states that the medical plan only covers...
- CALIFORNIA HOSPITALS SUE TO STOP FUNDING CUTS. // Medical Economics;1/25/2012, Vol. 89 Issue 2, p11
The article presents information on a lawsuit filed by the California Hospital Association (CHA) claiming that the state and federal officials have blocked a 10 percent cut in government reimbursements to healthcare providers who treat low-income patients under the state's Medi-Cal program.
- The Blues take aim at doctors who "rent" patients. Rose, Joan R. // Medical Economics;5/20/2005, Vol. 82 Issue 10, p17
Focuses on lawsuit filed by 12 Blue Cross and Blue Shield plans against dozens of southern California medical providers. Payment of recruiters to convince healthy patients to travel to California to undergo invasive and risky procedures.
- D&O and Professional Liability. // Venulex Legal Summaries;2012 Q3, Special section p1
The article discusses court cases concerning directors and officers and professional liability in the U.S. in 2011. The late notice defense used by an insurer was rejected under a crime protection policy which requires notice of loss as soon as possible. In the Feldman v. Illinois Union Ins. Co....
- A STEP FORWARD, STEP BACK FOR CARE MANDATES. Smerd, Jeremy // Workforce Management;2/4/2008, Vol. 87 Issue 2, p12
The article reports that the 9th Circuit Court of Appeals in California ruled that San Francisco employers must comply with the city's Health Care Security Ordinance while it considers the city's appeal. The judge of first instance held that San Francisco violated the Employee Retirement Income...
- HEALTH INSURANCE--PROVIDER DISCOUNTS. // Benefits Quarterly;1997 Third Quarter, Vol. 13 Issue 3, p103
The article presents information on the case, McConocha v. Blue Cross and Blue Shield of Ohio. Where a group health insurer paid less than the 80% of eligible medical expenses its contract required it to pay because it had separately negotiated a discounted fee schedule with the medical...
- OTHER Recent DECISIONS. // Legal-Legislative Reporter;May2007, Vol. 41 Issue 5, p15
The article discusses court cases and decisions in the U.S. as of May 5, 2007. In the Greeley v. Fairview Health Services et al case, the ruling was in favor of the defendant. In the Hollingshead v. Blue Cross and Blue Shield of Oklahoma, the court has denied the defendant's decision to deny...