
As an Amazon Associate and affiliate partner, Menrva Books earns from qualifying purchases. Learn more
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
This supplement provides updated analysis on the complex legal landscape of managed care litigation. It addresses the development and scope of Medicare preemption of state common law causes of action, introducing new discussions on breach of nondelegable duties, bad faith claims, and vicarious liability theories. The supplement also expands coverage of balance billing and provider reimbursement issues, and includes a new section on Accountable Care Organizations, reflecting significant shifts in healthcare delivery and payment models.
This supplement is designed for legal professionals and healthcare administrators seeking to navigate the intricacies of managed care litigation. It offers a comprehensive overview of recent legal developments, providing practitioners with the latest case law and analytical insights. The detailed examination of evolving legal theories and regulatory changes ensures readers are equipped with current knowledge essential for practice in this dynamic field. The inclusion of a revised appendix on class actions and recent ERISA decisions further solidifies its utility as a vital reference.
Page Count:
430
Publication Date:
2010-05-13
Publisher:
BNA Books, A Division of Bureau of National Affairs
ISBN-10:
1570188157
ISBN-13:
9781570188152
No comments yet. Be the first to share your thoughts!