Author Description

Updated analysis of the development and scope of Medicare preemption of state common law causes of action. New discussions of breach of nondelegable duties, bad faith. claims, and vicarious liability theories. Expanded coverage of balance billing and provider reimbursement issues. A new section on Accountable Care Organizations. New examination of current litigation trends pertaining to Silent PPO's, physician tiering and provider inclusion and exclusion from networks. Recent developments regarding post-claims rescission of policies. New discussions on Mental Health Parity laws and claims against managed behavioral health care organizations. A revised Comprehensive Appendix listing recent managed care class actions. Latest happenings in ADR and decisions regarding arbitration provisions and class actions. Review of important recent ERISA decisions pertaining to de novo review, discretionary clauses, mandated benefits, and preemption