Mealeys

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Mealey's Health Law - 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 Health Law - Judge: No Jurisdiction To Hear Health Insurer Liquidator's Offset Case
Posted on 14 Aug 2019 by Mealeys

CHICAGO - A federal judge in Illinois on Aug. 13 held that she lacked jurisdiction over a case filed by an insolvent health insurer's liquidator against the Centers for Medicare and Medicaid Services (CMS) and the U.S. government in which the liquidator... Read More

Mealey's Health Law - 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 Health Law - 9th Circuit Reverses Class Denial In Generic Drug Price-Gouging Case
Posted on 17 Jun 2019 by Mealeys

SAN FRANCISCO - Both named and unnamed plaintiffs in a drug-pricing class action allege the same injury from the same conduct, satisfying the typicality requirements for a class action, a Ninth Circuit U.S. Court of Appeals panel held June 14 in reinstating... Read More

Mealey's ACA - 9th Circuit Reverses Class Denial In Generic Drug Price-Gouging Case
Posted on 17 Jun 2019 by Mealeys

SAN FRANCISCO - Both named and unnamed plaintiffs in a drug-pricing class action allege the same injury from the same conduct, satisfying the typicality requirements for a class action, a Ninth Circuit U.S. Court of Appeals panel held June 14 in reinstating... Read More

Mealey's Health Law - Judge: Insurer Shorted Period For Medically Necessary Mental Health Treatments
Posted on 7 Jun 2019 by Mealeys

SALT LAKE CITY - A federal judge in Utah on June 4 affirmed complete denial of coverage for treatment at one mental health treatment facility under the Employee Retirement Income Security Act, but found treatment at a second medically necessary for longer... Read More

Mealey's Health Law - 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 Health Law - Insurers: United States Ignores Adverse Impact Of Risk-Corridor Ruling
Posted on 24 May 2019 by Mealeys

WASHINGTON, D.C. - The United States never grapples with the disastrous consequences and far-reaching impact a decision allowing the government to simply skip out on Patient Protection and Affordable Care Act (ACA) risk-corridor obligations, a pair of... Read More

Mealey's Health Law - 11th Circuit: Procedure Errors Don't Alter Standard; Insurers' ERISA Ruling Stands
Posted on 20 May 2019 by Mealeys

ATLANTA - Insubstantial procedural errors do not require anything other than the capricious and arbitrary standard in an Employee Retirement Income Security Act case challenging an insurer's denial of coverage for eating disorder treatments, an 11th... Read More

Mealey's Health Law - Federal Judge Continues Receivership Over FTC-Targeted Health Insurer
Posted on 15 May 2019 by Mealeys

MIAMI - Defendants portrayed health insurance products as comprehensive plans compliant with the Patient Protection and Affordable Care Act (ACA) when in reality they offered little to no coverage, a federal judge in Florida held May 14 in granting a... Read More

Mealey's Health Law - Government Says Insurers Can't Recover ACA Risk-Corridor Funds
Posted on 10 May 2019 by Mealeys

WASHINGTON, D.C. - The United States told the Supreme Court on May 8 that the Patient Protection and Affordable Care Act's risk corridor never entitled insurers - some of them now defunct - to subsidies and that Congress' latter actions erased... Read More

Mealey's Health Law - 1st Circuit Reinstates Challenge To ACA Contraception Rules
Posted on 6 May 2019 by Mealeys

BOSTON - While the exact amount of Massachusetts' alleged injury from rules granting expanded employers expanded exemptions to the Patient Protection and Affordable Care Act (ACT) may not be known, it stands to reason that it is not zero and provides... Read More

Mealey's Health Law - Government Appeals Finding That ACA Association Rule Violates ERISA
Posted on 6 May 2019 by Mealeys

WASHINGTON, D.C. - The Department of Labor on May 1 appealed to the District of Columbia Circuit U.S. Court of Appeals a ruling invalidating a Patient Protection and Affordable Care Act (ACA) rule expanding the availability of association health plans... Read More

Mealey's Health Law - Supreme Court Won't Hear Dispute Over Anti- Assignment Provision
Posted on 16 Apr 2019 by Mealeys

WASHINGTON, D.C. - In its April 15 orders list, the U.S. Supreme Court denied certiorari in a dispute between a medical provider and United Healthcare Insurance Co. over an anti-assignment provision in a group health benefit plan (W.A. Griffin v. United... Read More

Mealey's Health Law - Indian Tribes, Scholars Warn Of Economic, Health Care Impact If ACA Falls
Posted on 3 Apr 2019 by Mealeys

NEW ORLEANS - Hundreds of Indian tribes, more than 50 economic scholars, a handful of constitutional law experts who in the past opposed the Patient Protection and Affordable Care Act (ACA) and two Republican-led states said striking down the entire law... Read More