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May 12, 2017 |

Judge Weighs 'Bizarre' Contract Dispute Between Delta Retirees, Insurer

In a dispute between United Healthcare and the trust that provides health insurance for retired Delta Air Lines employees—over what the trust says is more than $5 million in drug rebates it is owed—the judge overseeing the case expressed astonishment Monday at two facts.
9 minute read
May 12, 2017 | Daily Report Online

Judge Weighs 'Bizarre' Contract Dispute Between Delta Retirees, Insurer

In a dispute between United Healthcare and the trust that provides health insurance for retired Delta Air Lines employees—over what the trust says is more than $5 million in drug rebates it is owed—the judge overseeing the case expressed astonishment Monday at two facts.
8 minute read
February 13, 2017 |

Settlement Over Hepatitis Cure OK'd Despite Challenge From Attorneys General

A federal judge approved a settlement with United HealthCare over the opposition of 14 state attorneys general.
10 minute read
November 10, 2016 |

False Claims Act Round Up: Attacking Claims Post-'Escobar'

Federal Civil Enforcement columnists Richard Strassberg and William Harrington write that court decisions in the last six months provide several new grounds for defendants to challenge the viability of False Claims Act suits. These include a potential strengthening of the FCA materiality requirement, the need for particularity in describing why a claim was objectively false, and greater scrutiny of statistical sampling evidence.
18 minute read
November 04, 2016 |

Presbyterian Homes, Inc. v. Bair, PICS Case No. 16-1334 (C.P. Lycoming Oct. 14, 2016) Gray, J. (5 pages).

Nursing care patient signed a standard agreement on entry, and nursing home commenced application for Medicaid but failed to use reasonable care and diligence to correct any omissions on the application, resulting in its denial. Home also failed to use reasonable care in billing patient's supplemental insurance company and Medicare for any amounts prior to billing patient directly. Home filed a claim for breach of contract for failing to pay for services, but the court found it failed to follow standard procedure, failed to use reasonable care in obtaining payment, and failed to take steps to mitigate the costs. Home failed to establish that it was entitled to payment from patient, and the court found in favor of patient.
5 minute read
Law Journal Press | Digital Book Encyclopedia of New York Causes of Action: Elements & Defenses 2024 Authors: ERNEST EDWARD BADWAY View this Book

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November 04, 2016 |

Matala-De Mazza v. Special Touch Home Care Services, Inc.

CBA Mandates Arbitration of Claims Alleging Home Care Wage Parity, Labor Laws' Breach
3 minute read
September 12, 2016 |

United Health Expands Hepatitis C Drug Coverage to Settle National Class Action

United Healthcare agreed to expand its coverage of hepatitis C drugs as part of a nationwide class action settlement valued at more than $300 million.
8 minute read
September 07, 2016 |

MBody Minimally Invasive Surgery v. United Healthcare Ins. Co.

Medical Practice Sufficiently Alleges Insurer's Breach of Duty of Care; Claim Survives
2 minute read
September 01, 2016 |

Big Numbers and High Stakes for Executive Compensation Lawyers

The tax law-laden practices of executive compensation lawyers may appear mundane at first glance. But pending changes to federal regulations in the financial services industry, as well as recently publicized pay jumps for the CEO of one under-fire pharmaceutical company, serve to illustrate that those lawyers play an important role in the boardroom.
28 minute read
August 05, 2016 |

Roberts v. United Healthcare Services

4 minute read

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