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<title>LexisNexis&#174; Mealey's&#8482; Managed Care Liability Legal News</title>

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<description>Headline Managed Care Liability Legal News from LexisNexis&#174;</description>

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<copyright>Copyright 2009</copyright>

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<link>http://www.mealeysonline.com/mealey/ppv/articleSearch.do?searchTerm=%22%2013-23 Mealeys Man. Care Liab. Rep. 1%20(2009)%20%22&amp;pageLimit=10&amp;pageNumber=0&amp;publication=All+Mealey+Publications%3BMEALEY%3BMEALEY&amp;relativeDateValue=NONE&amp;fromDate=&amp;toDate=&amp;loc=mealeysrss</link>
<title>Louisiana Appeals Court Affirms, Vacates Dismissal In Wrongful Discount Case</title>
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<![CDATA[NEW ORLEANS - A Louisiana appeals court on Nov. 10 partially affirmed and partially vacated a state court opinion dismissing claims against third-party administrators in a case in which a preferred provider claimed that the defendants took wrongful discounts (Touro Infirmary v. American Maritime Officer, et al., No. 2009-CA-0697, La. App., 4th Cir.; 2009 La. App. LEXIS 1932). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-23 Mealey's Man. Care Liab. Rep. 1 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>California Appeals Court Affirms Denial Of Preliminary Injunction</title>
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<![CDATA[SAN JOSE, Calif. - A California appeals court on Nov. 25 in an unpublished decision affirmed that a trial court did not err in denying a chiropractor a preliminary injunction to enjoin a preferred provider organization from delisting him from its list of preferred providers (Steven R. Davis v. First Health Group Corp., No. H032183, Calif. App., 6th Dist.; 2009 Cal. App. Unpub. LEXIS 9442). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-23 Mealey's Man. Care Liab. Rep. 2 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Illinois Federal Judge Grants Administrator Judgment In Denial Of Benefits Case</title>
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<![CDATA[CHICAGO - An Illinois federal judge on Nov. 10 granted a plan administrator summary judgment in a wrongful denial of benefits case, saying that the defendant informed the plaintiff of the type of evidence needed to perfect his claim and made it sufficiently clear why the claim was being denied (Logan Berkowitz v. United Airlines Employee Welfare Benefit Plan, No. 08-4940, N.D. Ill.; 2009 U.S. Dist. LEXIS 106399). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-23 Mealey's Man. Care Liab. Rep. 3 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Ala. Federal Judge Approves $2.8 Million Settlement In Reimbursement Case</title>
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<![CDATA[Case name: Eufaula Drugs Inc., et al. v. TDI Managed Care Services Inc., et al.; See 6/17/09, Page 4. 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-23 Mealey's Man. Care Liab. Rep. 4 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Michigan Federal Judge: Removal Of Reimbursement Case Proper; Amendment Allowed</title>
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<![CDATA[GRAND RAPIDS, Mich. - A federal judge in Michigan on Nov. 19 held that an insurance company properly removed a reimbursement dispute to federal court but reserved ruling on the defendant's dismissal motion to provide the plaintiff time to amend its complaint to assert a claim under the Employee Retirement Income Security Act (Marquette General Hospital Inc. v. Aetna Health Inc., No. 09-135, W.D. Mich.; 2009 U.S. Dist. LEXIS 108020). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-23 Mealey's Man. Care Liab. Rep. 5 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>N.J. Appeals Court Affirms Judgment Against Insurer In Contract Dispute</title>
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<![CDATA[TRENTON, N.J. - A New Jersey appeals court on Nov. 17 in an unpublished opinion affirmed summary judgment in favor of plaintiffs and third-party defendants in a suit alleging violations of a health care insurance contract (Joseph Garcia, M.D., et al. v. Health Net of New Jersey Inc., et al., No. A-2430-07T3, N.J. Super., App. Div.; 2009 N.J. Super. Unpub. LEXIS 2858). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-23 Mealey's Man. Care Liab. Rep. 6 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Kentucky Federal Judge Dismisses Wrongful Termination Of Contract Case</title>
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<![CDATA[BOWLING GREEN, Ky. - A Kentucky federal judge on Nov. 17 declined to remand to state court a wrongful termination of contract case brought by a pharmacy against a pharmacy benefit manager, two insurers and state employees and instead dismissed the case for failure to state a claim (Grider Drug LLC, et al. v. Express Scripts Inc., et al., No. 09-95, W.D. Ky.; 2009 U.S. Dist. LEXIS 107515). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-23 Mealey's Man. Care Liab. Rep. 7 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>California Appeals Court: Plaintiff Entitled To Amount Of Expenses As Billed</title>
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<![CDATA[SAN DIEGO - In reversing a lower court decision, a California appeals court on Nov. 23 held that a plaintiff who has private health care insurance in a personal injury case may recover, under the collateral source rule, economic damages for the actual amount of medical expenses billed (Rebecca Howell v. Hamilton Meats &amp; Provisions Inc., No. D053620, Calif. App., 4th Dist.; 2009 Cal. App. LEXIS 1874). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-23 Mealey's Man. Care Liab. Rep. 8 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Surgical Center's Class Action Suit In N.J. Federal Court Alleges Low Payments</title>
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<![CDATA[NEWARK, N.J. - A California surgical center on Nov. 12 filed a class action lawsuit in New Jersey federal court against CIGNA companies, alleging that the defendants knowingly relied on a flawed database to deny, delay and reduce reimbursement paid to out-of-network health care providers (North Peninsula Surgical Center v. Connecticut General Life Insurance Co., et al., No. 09-5789, D. N.J.). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-23 Mealey's Man. Care Liab. Rep. 9 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Chiropractors File Class Action Suit In N.J. Federal Court For Reimbursement</title>
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<![CDATA[NEWARK, N.J. - A group of chiropractors on Nov. 19 filed a class action lawsuit in a New Jersey federal court against a health insurer for allegedly wrongfully declining to reimburse them for procedures that have been reimbursable for more than 30 years (Prospect Medical, et al. v. CIGNA Corp., et al., No. 09-5912, D. N.J.). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-23 Mealey's Man. Care Liab. Rep. 10 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Woman Sues Insurers In Alabama Federal Court For Failure To Pay Claim</title>
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<![CDATA[BIRMINGHAM, Ala. - An Alabama woman on Nov. 5 sued her health insurers in federal court, alleging that neither has paid for hospital bills she incurred, as required under her health plans (Barbara Lankford v. Unicare Life &amp; Health Insurance Co., et al., No. 09-2254, N.D. Ala.). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-23 Mealey's Man. Care Liab. Rep. 11 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Maryland Appeals Court: Coordination Of Benefits In Policies Not Restricted</title>
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<![CDATA[ANNAPOLIS, Md. - In an issue of first impression, the full Maryland Court of Appeals in an Oct. 20 divided opinion in response to a question of law certified by a federal court held that a state insurance statute does not restrict the ability of health insurers and health maintenance organizations to provide in contracts that health benefits may be secondary to personal injury protection (PIP) benefits under an automobile insurance policy (MAMSI Life &amp; Health Insurance Co., et al. v. Keui-I Wu, et al., Misc. No. 8, September Term 2008, Md. App.; 2009 Md. LEXIS 777). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-22 Mealey's Man. Care Liab. Rep. 1 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Florida Federal Judge Dismisses Subrogation Case; Defendant Not Fiduciary</title>
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<![CDATA[ORLANDO, Fla. - A Florida federal judge on Oct. 15 dismissed a subrogation case, saying nothing in the health plan at issue indicated that a recovery obtained by a plan beneficiary from a third party should be considered assets of the plan such that the beneficiary could be considered a plan fiduciary (Health First Health Plans Inc. v. Jeffrey Glatter, No. 09-1547, M.D. Fla.; 2009 U.S. Dist. LEXIS 101077). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-22 Mealey's Man. Care Liab. Rep. 2 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Ohio Federal Judge Remands Subrogation Case; No ERISA Preemption</title>
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<![CDATA[COLUMBUS, Ohio - An Ohio federal judge on Oct. 30 remanded a subrogation case to state court, saying removal was improper because the plaintiff was not seeking to enforce any provision of the Employee Retirement Income Security Act (Richard L. Cottrill, et al. v. Allstate Insurance Co., et al., No. 09-714, S.D. Ohio; 2009 U.S. Dist. LEXIS 101518). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-22 Mealey's Man. Care Liab. Rep. 3 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Missouri Federal Judge: ERISA Preempts Cancellation Of Coverage Claim</title>
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<![CDATA[ST. LOUIS - A Missouri federal judge on Nov. 3 dismissed a wrongful cancellation of health care coverage, finding that the Employee Retirement Income Security Act preempted the claims, but gave the plaintiff time to amend the complaint (Jeffrey Grandcolas v. Healthy Alliance Life Insurance Co., et al., No. 09-1452, E.D. Mo.; 2009 U.S. Dist. LEXIS 102255). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-22 Mealey's Man. Care Liab. Rep. 4 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Missouri Federal Magistrate Dismisses 1 Defendant, Leaves Another In COBRA Case</title>
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<![CDATA[ST. LOUIS - A Missouri federal magistrate judge on Nov. 12 dismissed one defendant from a case alleging violations of the Consolidated Omnibus Budget Reconciliation Act (COBRA), saying the plaintiff failed to put the defendant on notice as to the claims against it, but declined to dismiss claims against another defendant, saying it could not be determined at this stage whether the insurer served as a plan administrator or fiduciary (Annette P. Jones v. Healthlink Inc., et al., No. 09-419, E.D. Mo.; 2009 U.S. Dist. LEXIS 105701). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-22 Mealey's Man. Care Liab. Rep. 5 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Texas Federal Judge Finds Removal Proper, Dismisses 1 Defendant</title>
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<![CDATA[AUSTIN, Texas - A Texas federal judge on Nov. 12 held that removal to federal court of a wrongful denial of benefits case was proper because the plaintiff improperly joined one of the defendants, and he also dismissed the improperly joined defendant (Graham Leinneweber, et al. v. UniCare Life &amp; Health Insurance Co., et al., No. 09-657, W.D. Texas; 2009 U.S. Dist. LEXIS 105651). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-22 Mealey's Man. Care Liab. Rep. 6 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>High Court Will Not Review Ruling Barring Internet Pharmacy's Conspiracy Claims</title>
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<![CDATA[WASHINGTON, D.C. - The U.S. Supreme Court on Nov. 2 denied review of a Fifth Circuit U.S. Court of Appeals unpublished opinion that held that the statute of limitations barred an Internet pharmacy's claims that pharmacy benefit managers conspired to exclude if from the market (Rx.com, Inc. v. Medco Health Solutions, Inc., et al., No. 09-336, U.S. Sup.; See 5/6/09, Page 10). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-22 Mealey's Man. Care Liab. Rep. 7 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Pa. Federal Judge Denies Class Certification, Grants Plaintiff Partial Judgment</title>
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<![CDATA[PITTSBURGH - A Pennsylvania federal judge on Nov. 6 in separate opinions denied class certification and granted partial summary judgment in favor of the plaintiff in a suit challenging the definition of "actual charges" in a supplemental health insurance policy (William E. Smith v. Life Investors Insurance Company of America, No. 07-681, W.D. Pa.; 2009 U.S. Dist. LEXIS 103533). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-22 Mealey's Man. Care Liab. Rep. 8 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>House Passes Health Care Reform Bill By Narrow Margin</title>
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<![CDATA[WASHINGTON, D.C. - The U.S. House of Representatives voted 220-215 on Nov. 7 to approve H.R. 3962, or the Affordable Health Care for America Act. 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-22 Mealey's Man. Care Liab. Rep. 9 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Woman Sues Insurer, Plan In Mississippi Federal Court For Denying Benefits</title>
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<![CDATA[JACKSON, Miss. - A Mississippi woman on Nov. 11 sued her health plan and plan administrator in federal court for allegedly wrongfully denying a claim for benefits to have a battery replaced in a device used to stimulate her stomach muscles so she can eat solid foods (Terri Paige Riley v. Blue Cross &amp; Blue Shield of Mississippi, et al., No. 09-674, S. D. Miss.). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-22 Mealey's Man. Care Liab. Rep. 10 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Texas Man Sues Insurer In Federal Court For Failing To Pay For Treatment</title>
<description>
<![CDATA[TYLER, Texas - A Texas man on Nov. 6 sued his health insurer in federal court for failing to pay for costs associated with his cancer treatment after saying the treatments and related costs were covered under his health care policy (William Pipp Gillette v. Empire Blue Cross Blue Shield, et al., No. 09-511, E.D. Texas). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-22 Mealey's Man. Care Liab. Rep. 11 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Air Ambulance Provider Sues Plan, Insurer In Arizona Federal Court</title>
<description>
<![CDATA[PHOENIX - An air ambulance service provider on Oct. 12 sued a health plan and insurer in Arizona federal court for failing to pay for services provided to one of their insureds (Angel Jet Services v. Health and Welfare Plan of Hollis Roofing, et al., No. 09-2131, D. Ariz.). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-22 Mealey's Man. Care Liab. Rep. 12 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Florida Appeals Court Denies Rehearing; Child Referred To Wrong Program</title>
<description>
<![CDATA[DAYTONA BEACH, Fla. - The Fifth District Florida Court of Appeal on Nov. 6 denied Florida Healthy Kids Corp.'s motion for rehearing and rehearing en banc but withdrew its previous opinion to substitute a corrected opinion in a case challenging the placement of a child in the Florida KidCare Program (Health First Health Plan C Inc. v. Florida Healthy Kids Corp., No. 5D08-240, Fla. App., 5th Dist.; 2009 Fla. App. LEXIS 16551; See 8/5/09, Page 9). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-22 Mealey's Man. Care Liab. Rep. 13 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Montana Commissioner's Rejection Of Discretionary Clauses Not Preempted</title>
<description>
<![CDATA[SAN FRANCISCO - Montana's practice of disapproving discretionary clauses in disability insurance policies is not preempted by the Employee Retirement Income Security Act, the Ninth Circuit U.S. Court of Appeals ruled Oct. 27 (Standard Insurance Co. v. John Morrison, state auditor, ex. Officio Commissioner of Insurance, No. 08-35246, 9th Cir.; 2009 U.S. App. LEXIS 23598). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-22 Mealey's Man. Care Liab. Rep. 14 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Ingenix To Acquire CareMedic</title>
<description>
<![CDATA[EDEN PRAIRIE, Minn. - Ingenix, a health information, technology and consulting company, on Nov. 10 announced that it will acquire CareMedic Services Inc., a revenue cycle management (RCM) solutions company for hospitals and health systems, in a cash transaction. 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-22 Mealey's Man. Care Liab. Rep. 15 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Federal Judge Grants PBM Summary Judgment In Reimbursement Case</title>
<description>
<![CDATA[MONTGOMERY, Ala. - An Alabama federal judge on Oct. 29 granted summary judgment in favor of a pharmacy benefit manager (PBM) in a reimbursement dispute, saying that contracts between the parties permitted the PBM to amend the documents governing the updating of reimbursement methods (Pearson's Pharmacy Inc., et al. v. Express Scripts Inc., No. 06-73, M.D. Ala.; 2009 U.S. Dist. LEXIS 100915; See 6/20/07, Page 9). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-21 Mealey's Man. Care Liab. Rep. 1 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Plaintiffs File Briefs Opposing Dismissal Of Data Manipulation Case</title>
<description>
<![CDATA[NEWARK, N.J. - Plaintiffs alleging that insurance companies and a database company manipulate the rates for which they reimburse out-of-network medical providers for services filed separate briefs on Oct. 28 in a New Jersey federal court opposing dismissal of their class action complaint (In re: Aetna UCR Litigation, MDL No. 2020, Master File No. 07-3541, D. N.J.; See 10/7/09, Page 5). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-21 Mealey's Man. Care Liab. Rep. 2 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>1st Circuit Panel Finds Remand Of Health Insurance Fraud Class Is Premature</title>
<description>
<![CDATA[BOSTON - A federal judge's finding that removal jurisdiction under the Class Action Fairness Act (CAFA) does not attach if the complaint does not specifically define the putative class was premature, the First Circuit U.S. Court of Appeals ruled Oct. 22 (College of Dental Surgeons of Puerto Rico v. Connecticut General Life Insurance Company, et al., No. 09-2201, 1st Cir.; 2009 U.S. App. LEXIS 23299). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-21 Mealey's Man. Care Liab. Rep. 3 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>ERISA Doesn't Bar Provider's Reimbursement Claim Against Plan, 9th Circuit Says</title>
<description>
<![CDATA[SAN FRANCISCO - The Employee Retirement Income Security Act does not preempt a medical service provider's claim that a welfare plan failed to reimburse the provider pursuant to the contractually set rates for services, a divided Ninth Circuit U.S. Court of Appeals affirmed Sept. 14 in an unpublished opinion (Board of Trustees of the Laborers Health and Welfare Trust Fund for Northern California v. Doctors Medical Center of Modesto, et al., No. 07-16710, 9th Cir.; 2009 U.S. App. LEXIS 20615; See 9/19/07, Page 11). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-21 Mealey's Man. Care Liab. Rep. 4 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>U.S. Supreme Court Grants Certiorari In FEHBA Case</title>
<description>
<![CDATA[WASHINGTON, D.C. - The U.S. Supreme Court on Oct. 13 granted certiorari to determine whether the Federal Employees Health Benefits Act (FEHBA) completely preempts state court suits challenging enrollment and health benefits determinations made under FEHBA in a case in which a health plan administrator allegedly wrongfully removed a child from his mother's health care insurance (Health Care Service Corp. v. Juli A. Pollitt, et al., No. 09-38, U.S. Sup.). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-21 Mealey's Man. Care Liab. Rep. 5 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Louisiana Federal Judge Grants Summary Judgment In Denial Of Benefits Case</title>
<description>
<![CDATA[NEW ORLEANS - A Louisiana federal judge on Oct. 20 granted summary judgment in favor of a plaintiff in a wrongful denial of benefits case, finding that a plan administrator's interpretation of "investigational" procedures was not a fair reading of the plan's medical policy (James F. Welch v. HMO Louisiana/Blue Cross, No. 08-4576, E.D. La.; 2009 U.S. Dist. LEXIS 97159). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-21 Mealey's Man. Care Liab. Rep. 6 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Wisconsin Federal Judge Dismisses Wrongful Denial Of Benefits Case</title>
<description>
<![CDATA[MILWAUKEE - A Wisconsin federal judge on Oct. 26 dismissed a wrongful denial of benefits case, saying that the plaintiff's health insurance policy did not provide for the benefits he sought and that he was not entitled to extracontractual relief (Jeffrey Smith v. Medical Benefit Administrators Group Inc., No. 09-538, E.D. Wis.; 2009 U.S. Dist. LEXIS 99322). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-21 Mealey's Man. Care Liab. Rep. 7 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>11th Circuit Finds Policy Term Not Ambiguous, Affirms Judgment</title>
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<![CDATA[ATLANTA - In affirming a lower court's decision, an 11th Circuit U.S. Court of Appeals Court panel in an Oct. 23 per curiam opinion held that the term "actual charges incurred" in a supplemental health insurance policy was not ambiguous and referred to the amount actually accepted by a hospital as payment in full and not the amount charged (Philadelphia American Life Insurance Co. v. Charles Buckles, No. 09-12533, 11th Cir.; 2009 U.S. App. LEXIS 23406). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-21 Mealey's Man. Care Liab. Rep. 8 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Massachusetts Federal Judge Grants, Denies Attorney Fees In Drug-Pricing Case</title>
<description>
<![CDATA[BOSTON - A federal Massachusetts judge on Oct. 20 partially granted and partially denied a motion for attorneys' fees and costs brought by an objector to the fees and costs sought by class counsel in a fraudulent drug-pricing case (New England Carpenters Health Benefits Fund, et al. v. First Databank Inc., et al., No. 05-11148, D. Mass.; 2009 U.S. Dist. LEXIS 97364; See 4/1/09, Page 5). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-21 Mealey's Man. Care Liab. Rep. 9 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Houses Introduces Health Care Reform Bill</title>
<description>
<![CDATA[WASHINGTON, D.C. - House Speaker Nancy Pelosi of California on Oct. 29 announced the introduction of a health care bill aimed at expanding coverage to most Americans and overhauling the health insurance industry. 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-21 Mealey's Man. Care Liab. Rep. 10 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Plaintiffs Seek To Enforce Injunction Stopping Rate Reduction; Defendants Oppose</title>
<description>
<![CDATA[LOS ANGELES - Plaintiffs seeking to stop the State of California from reducing reimbursement rates paid under the Medicaid program on Oct. 11 filed motions in two cases to enforce injunctions against implementing the reductions, while the state on Oct. 26 filed separate briefs opposing the reductions (Independent Living Center of Southern California, et al. v. David Maxwell-Jolly, director of Department of Health Services of the State of California, et al., No. 08-3315, Independent Living Center of Southern California Inc., et al. v. David Maxwell-Jolly director of Department of Health Services of the State of California, et al., No. 09-382 C.D. Calif.; See 9/2/09, Page 17). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-21 Mealey's Man. Care Liab. Rep. 11 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Father, Daughter Sue Insurer For Wrongly Denying Benefits</title>
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<![CDATA[LOS ANGELES - A California father and daughter on Oct. 13 sued their health insurer in federal court for allegedly wrongfully denying benefits for treatment of the girl's eating disorder at an inpatient facility (Ken Lancaster, et al. v. Blue Cross of California, No. 09-1184, C.D. Calif.). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-21 Mealey's Man. Care Liab. Rep. 12 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Illinois Man Sues Former Employer, Insurer For Failure To Pay Benefits</title>
<description>
<![CDATA[CHICAGO - An Illinois man on Oct. 14 sued his former employer and health insurer in federal court for allegedly failing to pay benefits and failing to secure his rights under the Consolidated Omnibus Budget Reconciliation Act (COBRA) (Wynn Kanten v. OP Therapy Inc., et al., No. 09-6475, N. D. Ill.). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-21 Mealey's Man. Care Liab. Rep. 13 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Health Insurer Sues Auto Insurer In Federal Court To Recover Benefits Paid</title>
<description>
<![CDATA[BATON ROUGE, La. - A Medicare Advantage health insurer on Oct. 19 sued an automobile insurer in Louisiana federal court to recover payments paid on behalf of one of its insureds that it says the automobile insurer should have paid pursuant to the Medicare Secondary Payer law (Humana Insurance Co. v. State Farm Mutual Automobile Insurance Co., No. 09-902, M.D. La.). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-21 Mealey's Man. Care Liab. Rep. 14 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>1st Circuit Declines To Hear Appeal En Banc</title>
<description>
<![CDATA[BOSTON - The First Circuit U.S. Court of Appeals on Oct. 21 denied a request by Maine Attorney General Janet T. Mills to have heard en banc the appeal of an order granting a preliminary injunction to stop enforcement of the state's Prescription Privacy Law (IMS Health Inc., et al. v. Janet T. Mills, as attorney general for the state of Maine, No. 08-1248, 1st. Cir.; See 10/21/09, Page 10). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-21 Mealey's Man. Care Liab. Rep. 15 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Federal Judge Denies Motion To Reconsider</title>
<description>
<![CDATA[SEATTLE - U.S. Judge Robert S. Lasnik of the Western District of Washington on Oct. 20 denied a motion to reconsider his decision granting the dismissal of a class action case alleging that an insurance company misrepresented the amounts preferred providers could charge (Kimberly Young, et al. v. Regence Blueshield, et al., No. 07-2008RSL, W.D. Wash.; See 8/19/19, Page 13). 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-21 Mealey's Man. Care Liab. Rep. 16 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<title>Companies Sued For Deceptive Marketing Of Discount Medical Plans</title>
<description>
<![CDATA[BOSTON - Massachusetts Attorney General Martha Coakley on Oct. 13 filed a lawsuit against four companies, alleging that they were involved in deceptively marketing and selling a medical discount plan to hundreds of state residents. 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-21 Mealey's Man. Care Liab. Rep. 17 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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<link>http://www.mealeysonline.com/mealey/ppv/articleSearch.do?searchTerm=%22%2013-21 Mealeys Man. Care Liab. Rep. 18%20(2009)%20%22&amp;pageLimit=10&amp;pageNumber=0&amp;publication=All+Mealey+Publications%3BMEALEY%3BMEALEY&amp;relativeDateValue=NONE&amp;fromDate=&amp;toDate=&amp;loc=mealeysrss</link>
<title>UnitedHealth Names Executive VP, General Counsel</title>
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<![CDATA[MINNEAPOLIS - UnitedHealth Group on Oct. 28 announced that the company has appointed Christopher J. Walsh and Mitchell Zamoff to the position of executive vice president and general counsel, effective immediately.? Zamoff and Walsh have shared the duties on an interim basis for UnitedHealth Group since January. 
<a href="http://www.lexis.com/research/xlink?canceldest=form&amp;keyenum=25271&amp;keytnum=0&amp;searchtype=get&amp;search=13-21 Mealey's Man. Care Liab. Rep. 18 (2009)&amp;view=full&amp;ORIGINATION_CODE=00144" target="_blank">Full story on lexis.com</a>]]>
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