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New discussions of Medicare preemption of state tort claims,breach of nondelegable duties,and unfair competition unlawful business practices.Expanded discussion of litigation over mandated benefits. Review of U.S. Supreme Court decision in LaRue v. DeWolff, Boberg & Assocs.,holding an ERISA plan participant could state an ERISA claim against a fiduciary whose alleged misconduct impaired the value of plan assets in the participant s individual account.New sections on policy cancellation and post-claims underwriting developments.Recent rulings addressing expansion of the MMA preemption clause.New section on exhaustion of remedies.New discussion on administrative and legal developments in P4P. Updated appendix listing recent managed care class actions.
This supplement addresses critical legal developments in managed care litigation. It provides new discussions on Medicare preemption of state tort claims, breach of nondelegable duties, and unfair competition unlawful business practices, alongside an expanded look at litigation over mandated benefits. The supplement reviews significant court decisions, including the U.S. Supreme Court's ruling in LaRue v. DeWolff, Boberg & Assocs., and introduces new sections on policy cancellation, post-claims underwriting, and exhaustion of remedies. It also covers recent rulings on the expansion of the MMA preemption clause and administrative/legal developments in Pay-for-Performance (P4P).
This supplement is designed for legal professionals specializing in health law and managed care litigation. It provides timely updates on complex legal issues, including Medicare preemption, ERISA claims, and contractual disputes. The inclusion of recent court decisions and legislative developments ensures practitioners have access to the most current information. The updated appendix of class actions offers a valuable resource for understanding ongoing litigation trends.
Page Count:
360
Publication Date:
2009-01-01
Publisher:
BNA Books
ISBN-10:
1570187665
ISBN-13:
9781570187667
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