Mealeys

Sorry, but there are no more tags available to filter with.
Recent Posts

Mealey's ACA - High Court Will Not Review Ruling Denying Woman's Appearance At Hearing
Posted on 21 Oct 2019 by Mealeys

WASHINGTON, D.C. - The U.S. Supreme Court on Oct. 21 denied a woman's petition for a writ of certiorari seeking review of a Kentucky Supreme Court's ruling that she could not appear at a hearing challenging her managed care organization (MCO)... Read More

Mealey's ACA - United, Class Brief Reconsideration In Facility-Fee Class Case
Posted on 15 Oct 2019 by Mealeys

NEW YORK - Whether assignment of Employee Retirement Income Security Act rights requires reversing class certification of a group of surgery providers claiming that the insurer denied payment for facility fees without regard for whether coverage existed... Read More

Mealey's ACA - 5th Circuit Doesn't Want Second Look At Dialysis Provider's Suit
Posted on 14 Oct 2019 by Mealeys

NEW ORLEANS - The Fifth Circuit U.S. Court of Appeals denied a motion for rehearing Oct. 10, letting stand a decision finding a health care plan's anti-assignment provision prevented a health care provider from suing an insurer (Dialysis Newco Inc... Read More

Mealey's ACA - Top Court Denies Review In ERISA Health Care Rights-Assignment Spat
Posted on 7 Oct 2019 by Mealeys

WASHINGTON, D.C. - The U.S. Supreme Court on Oct. 7 denied a health care insurer's petition for review, leaving stand a Fifth Circuit U.S. Court of Appeals ruling finding that direct payments to a provider waived an Employee Retirement Income Security... Read More

Mealey's ACA - Provider Seeks Rehearing After Panel Rules On Assignment, ERISA Preemption
Posted on 30 Sep 2019 by Mealeys

NEW ORLEANS - A dialysis provider Sept. 25 asked the Fifth Circuit U.S. Court of Appeals to review a panel ruling finding a health care plan precluded assignment of Employee Retirement Income Security Act rights and that the statute preempted Tennessee... Read More

Mealey's ACA - United Wants Judge To Reconsider Facility-Fee Coverage Class Ruling
Posted on 26 Sep 2019 by Mealeys

NEW YORK - Determining whether a class of surgery providers properly obtained an assignment of rights under Employee Retirement Income Security Act plans requires claim-by-claim analysis precluding certification, an insurer tells a New York judge in a... Read More

Mealey's ACA - Dialysis Provider's Suit Fails On Statutory, Standing Grounds, Judge Says
Posted on 25 Sep 2019 by Mealeys

CINCINNATI - A health insurance administrator's decision to make all dialysis companies out-of-network providers does not violate the Medicare Secondary Payor Act (MSPA), and the provider's assignment is limited to insurance benefits and does... Read More

Mealey's ACA - Insurer Says Standing, Merits Don't Require Review Of Medicaid Hearing Challenge
Posted on 20 Sep 2019 by Mealeys

WASHINGTON, D.C. - The U.S. Supreme Court lacks jurisdiction over a Kentucky top court ruling on standing, and nothing in a ruling precluding a hearing after an insurer denied coverage under Medicaid would warrant review, the insurer tells the court in... Read More

Mealey's ACA - Amici Say 5th Circuit Ruling Contravenes Precedent, ERISA
Posted on 17 Sep 2019 by Mealeys

WASHINGTON, D.C. - Direct payments to health care providers do not waive anti-assignment provisions or transform the provider into the type of party that can sue an insurer under the Employee Retirement Income Security Act, industry groups tell the U... Read More

Mealey's ACA - United Facility-Fee Coverage Case Granted Class Status
Posted on 16 Sep 2019 by Mealeys

NEW YORK - Allegations that an insurer improperly denied coverage for out-of-network facility fees for certain providers support certification of a class seeking declaratory and injunctive relief, but not classwide benefit awards, a federal judge in New... Read More

Mealey's ACA - Appeals Court: Plan Bars Rights Assignment; ERISA Preempts Tennessee Health Law
Posted on 13 Sep 2019 by Mealeys

NEW ORLEANS - A district court erred in finding ambiguous an anti-assignment provision in an Employee Retirement Income Security Act plan and that Tennessee law making insurers liable to third-party providers necessarily implicates the plan and is preempted... Read More

Mealey's ACA - Insurers Say Congress Never Repealed Risk Corridor, Still Owes Billions Under ACA
Posted on 3 Sep 2019 by Mealeys

WASHINGTON, D.C. - Appropriations riders simply limited Patient Protection and Affordable Care Act (ACA) risk-corridor funding and cannot be read as repealing payments obligations under the program, five insurers told the U.S. Supreme Court on Aug. 30... Read More

Mealey's ACA - Judge: Lack Of Plan Documents Dooms Expanded Health Care Coverage Class
Posted on 21 Aug 2019 by Mealeys

TRENTON, N.J. - A proposed class of self-insured health plans in which Aetna Life Insurance Co. allegedly imposes undisclosed internal standards for coverage would require access to plan documents the plaintiffs have not submitted, a federal judge in... Read More

Mealey's Toxic Tort/Environmental - Women: Insurer Can't Create Barriers To ACA-Mandated Lactation Services
Posted on 12 Aug 2019 by Mealeys

ST. LOUIS - The Patient Protection and Affordable Care Act (ACA) cannot simultaneously require coverage for lactation services while permitting insurers to place administrative barriers that make obtaining that care impossible, two women tell the Eighth... Read More

Mealey's ACA - 8th Circuit Crashes Air Transport Provider's ERISA Reimbursement Suit
Posted on 25 Jul 2019 by Mealeys

ST. LOUIS - A patient did not assign Employee Retirement Income Security Act equitable relief rights to an emergency air transport provider, and nothing in the allegations requires that the insurer pay the full bill, an Eighth Circuit U.S. Court of Appeals... Read More

Sorry, but there are no more tags available to filter with.