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Challenge to HMO's Care Guidelines Survives
A Manhattan judge has given the go-ahead to a class action against a leading HMO for letting personnel other than doctors decide what length of hospital stay will be covered. In denying the Prudential Insurance Company's bid to dismiss the case in its entirety, Supreme Court Justice Herman Cahn said the suit can proceed even though the plaintiffs had failed to exhaust their remedies under the insurance contract. The judge refused, however, to declare the insurance contracts void on public policy grounds.Gains by Minority Attorneys Withstand Downturn in Florida
When the recession began, many in the South Florida legal community worried the diversity gains made in recent years would take a serious hit if law firms used last-hired, first-fired policies to cut staff, disproportionately affecting minorities. The Daily Business Review's annual diversity survey, however, indicates minorities actually made gains at several firms in spite of the recession. And overall, firms small and large seem to be increasing their minority recruiting efforts.Companies Fear Outcome of Benefits Suits
Mention Microsoft and Time Warner to employment lawyers and one thing comes to mind: litigation over misclassified workers. Depending on the outcome of suits filed against the two companies, the potential liability they face for denying certain workers employee benefits could be enormous. And that risk has sent a chill down the collective spines of employers across the country.Rahway Hospital v. Horizon Blue Cross Blue Shield of New Jersey
The commissioner of the Department of Banking and Insurance incorrectly construed N.J.S.A. 17:48E-10(a)(2), of the Health Service Corporations Act, as precluding plaintiff-hospital from recovering the difference between the below-cost contract payment rates and higher out-of-network market rates for medical services it provided to non-HMO Horizon subscribers during the four-month period following termination of its in-network health-care services agreement with Horizon.State AI Legislation Is on the Move in 2024
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2024 ESI Risk Management & Litigation Readiness Report
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Creating a Culture of Compliance
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A Buyer's Guide to Law Firm Software
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