Mealeys

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Mealey's ACA - Plaintiffs, Insurer Lay Out Remedies, Certification Claims In Mental Health Case
Posted on 15 Jul 2019 by Mealeys

SAN FRANCISCO - Whether a court properly certified a class of plaintiffs with various health care plans who were denied mental health treatments and the extent of remedies available under the Employee Retirement Income Security Act are all before a California... Read More

Mealey's ACA - 5th Circuit Hears Whether ACA Survives Elimination Of Individual Mandate Tax
Posted on 10 Jul 2019 by Mealeys

NEW ORLEANS - Whether eliminating the tax associated with Patient Protection and Affordable Care Act (ACA) individual mandate noncompliance brings down the entire law, or whether that portion of the statute can be severed lays with the Fifth Circuit U... Read More

Mealey's ACA - ACA Individual Mandate Challenge Parties Tell 5th Circuit Case Remains Live
Posted on 9 Jul 2019 by Mealeys

NEW ORLEANS - The United States' change in heart regarding the constitutionality of the Patient Protection and Affordable Care Act (ACA) after the elimination of the noncompliance penalty does not strip the Fifth Circuit U.S. Court of Appeals of jurisdiction... Read More

Mealey's ACA - U.S. Supreme Court Decides To Hear Health Insurers Over $12B ACA Dispute
Posted on 24 Jun 2019 by Mealeys

WASHINGTON, D.C. - The U.S. Supreme Court on June 24 granted certification to health insurers to decide whether the United States evaded its statutory promise to pay them for losses when the government blocked $12 billion in funding under the Patient... Read More

Mealey's ACA - Maryland, IBM Settle Dispute Over ACA Exchange Failure
Posted on 18 Jun 2019 by Mealeys

BALTIMORE - The state of Maryland, the United States, International Business Machines Corp. (IBM) and Curam Software reached a $14.8 million agreement resolving claims related to the bumpy rollout of the Patient Protection and Affordable Care Act (ACA... Read More

Mealey's ACA - Women Appeal ACA Lactation Insurance Coverage Ruling
Posted on 17 Jun 2019 by Mealeys

DES MOINES, Iowa - The Patient Protection and Affordable Care Act (ACA) requires that insurers list certified lactation specialists (CLS), and a judge's narrow reading of the mandate finding access to providers sufficient runs contrary to the law... Read More

Mealey's ACA - Parity Act Allegations In ERISA Suit May Proceed, Judge Says
Posted on 17 Jun 2019 by Mealeys

SALT LAKE CITY - Allegations that a health insurer covers subacute care in surgical settings but denies coverage in mental health settings provides a basis for a couple's Parity Act claim under the Employee Retirement Income Security Act, a federal... Read More

Mealey's ACA - Supreme Court Denies Review In California ACA Contraceptive Rules Spat
Posted on 17 Jun 2019 by Mealeys

WASHINGTON, D.C. - A court's ruling enjoining Patient Protection and Affordable Care Act (ACA) contraceptive mandate exemptions in plaintiff states will stand after the Supreme Court on June 17 declined to weigh in on the case (Little Sisters of the... Read More

Mealey's ACA - Mental Health Parity Claim Fails For Lack Of Comparison, Judge Says
Posted on 7 Jun 2019 by Mealeys

SALT LAKE CITY - Even assuming that an insurer erred in denying coverage for inpatient mental health care, plaintiffs lack sufficient comparison to other instances where the insurer approved coverage in other settings to support a Mental Health Parity... Read More

Mealey's ACA - 6th Circuit Affirms Insurer's HIV Drug Policy Isn't Discrimination
Posted on 5 Jun 2019 by Mealeys

CINCINNATI - The Patient Protection and Affordable Care Act (ACA) limits a plaintiff to the standard governing the type of discrimination he is alleging and he may not pick and choose which statute's standard he wishes to apply, a Sixth Circuit U... Read More

Mealey's ACA - Insurer Appeals After Entry Of $123,849 Judgment In ERISA Benefits Case
Posted on 3 Jun 2019 by Mealeys

SEATTLE - An insurer on May 31 noticed an appeal challenging a $123,849 judgment awarded to plaintiffs who prevailed in their case claiming improper denial of residential treatment under the Employee Retirement Income Security Act (Todd R., et al. v.... Read More

Mealey's ACA - Government Wants Association Health Plan Ruling Reversed
Posted on 3 Jun 2019 by Mealeys

WASHINGTON, D.C. - States lack standing to challenge a Patient Protection and Affordable Care Act (ACA) rule expanding association health plans, and in any case, a judge erred in finding the rule did "violence" to the Employee Retirement Income... Read More

Mealey's ACA - Insurer Stands Pat In Medicaid Fair Hearing Supreme Court Challenge
Posted on 31 May 2019 by Mealeys

WASHINGTON, D.C. - The Kentucky Supreme Court erred in concluding that a Medicaid recipient's lack of financial interest left her without standing to a pursue a fair hearing as required by a federal program, a woman argues in a May 15 petition asking... Read More

Mealey's ACA - Judge Approves Settlement In Behavioral Health Care Reimbursement Case
Posted on 30 May 2019 by Mealeys

BOULDER, Colo. - A federal judge on May 24 granted a motion for fees, costs and final approval to a settlement resolving claims that an insurer reimbursed out-of-network providers of behavioral health care differently than in-network providers (Laural... Read More

Mealey's ACA - Insurer Objects, But Judge Adopts Report Keeping State Law Health Care Claims
Posted on 30 May 2019 by Mealeys

FORT LAUDERDALE, Fla. - An out-of-network health care provider's state law claims will proceed after a federal judge in Florida on May 28 issued a one-page order adopting a report and recommendation over the objections of the insurer (GVB MD LLC,... Read More