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Managed Care
July 2000 |
HMO Incentives Not Grounds for Suit U.S. Supreme Court Rules Unanimously Use of financial incentives in HMOs' contracts with physicians may be losing favor, but it's not about to be declared outright illegal any time soon. The U.S. Supreme Court ruled unanimously that patients maynot sue a health plan just because it offers physicians incentives intended to limit health care services.   |
Managed Care
August 2000
Mark D. Abruzzo, J.D. |
Supreme Court Ruling Encourages Greater Awareness Among Patients To you and me, the court's holding in Pegram means that patients cannot sue HMOs under ERISA for giving doctors financial incentives to hold down costs. However, as is typical with many court decisions, this makes one wonder whether it doesn't take on a much greater meaning. |
Managed Care
November 1999 |
U.S. Supreme Court To Hear Suit Against HMOs Over Incentives Can HMOs be sued for the practice of offering bonuses to physicians who help them keep the cost of care down?... |
Managed Care
August 2000
Michael Levin-Epstein |
Will Fifth Circuit's Decision Spur Action on Patient Rights? The recent Fifth Circuit Court decision on Texas's statute allowing patients to sue HMOs for denial of physician-recommended care is helping to clarify where state and federal interests in patient rights lie -- and what Congress could do to spell out those interests. |
Salon.com
October 14, 1999
Dawn MacKeen |
Woe is HMO Proponents of liability legislation argue that the only way to change managed care's behavior is to threaten it with lawsuits. |
Managed Care
July 2004 |
Headlines On Deadline ... In a major victory for HMOs, the Supreme Court voted unanimously on June 21 that patients may not sue health plans in state courts for refusing to pay for medical care recommended by physicians. |
Managed Care
November 1999
John La Puma, M.D. |
Expanding HMO Liability: Ethical, But Not the Point ...Many states are not waiting for the federal debate about expanding HMO liability to play out... |
Managed Care
July 2000
Neville M. Bilimoria, J.D. |
HMOs Continue Losing Ground On Liability Issues at State Level The recent U.S. Supreme Court decision offers a nice breather, but executives should not let down their guard, as an Illinois ruling shows. |
Managed Care
November 1999
Allen Briskin & Gerry Hinkley |
HMO Liability Battleground Moving to Courts, Statehouse The adage "all politics is local" may, in the end, become the motto that sinks ERISA. HMO executives should assume protection will evaporate. |
Managed Care
December 2001 |
Survey: HMOs confused about HIPAA privacy regs Though the clock is ticking for HMOs to comply with new privacy guidelines under the Health Insurance Portability and Accountability Act, indications are that many companies are confused about what they need to do... |
Managed Care
July 2001
Michael Levin-Epstein |
Tilt of Senate to Democrats Speeded Debate on Patients' Rights The Senate debate over the Patients' Bill of Rights made for great theater, but was the outcome ever in doubt? |
Managed Care
October 2000
Patrick Mullen |
Interview: Steven B. Epstein, J.D. This pioneering medical legal authority says health plans and physicians should stop fighting over scraps the government throws them... |
Managed Care
April 2002 |
Ruling Makes Class-Action Suit More Plausible The idea of a class-action lawsuit against HMOs was boosted by a recent decision in a federal court in Florida. Meanwhile, the Blue Cross and Blue Shield Association has sounded the alarm that efforts to increase health plan liability may be launched in at least eight states... |
Salon.com
November 30, 1999
David McGuire |
How to kill HMO reform The lawyers who brought down Big Tobacco have now set their sights on HMOs, but what's wrong with this picture? |
Salon.com
July 17, 2001
Jake Tapper |
The healthcare disaster that wasn't When Texas passed its patients' bill of rights law, George W. Bush warned that it would unleash a plague of lawyers and drive up health costs. It didn't... |
Managed Care
March 2000
Mark D. Abruzzo |
Beating Obesity Begins By Expanding Tort Reform It's been suggested that, in order to battle obesity, HMOs should use their collective information and knowledge to change their members' behavior.... |
Managed Care
July 2002
John A. Marcille |
Capitation as Whipping Boy: Court Takes on Touchy Issue If plans are to keep coverage decisions reasonable and fair, they'll need tools that involve physicians and patients in the decision-making process. Capitation is one of those. |
Managed Care
August 2001
Edward T. Waters |
Administrators Could Be Liable Under Patients' Bill of Rights The Senate version would leave previous state and federal rulings against HMOs intact. Medical directors ignoring external-review boards can be sued... |
The Motley Fool
February 23, 2009
Brian Orelli |
Why Do You Hate Health-Care Companies So Much? Members of Congress plan to introduce a bill that would give patients legal recourse against medical device companies making drug-eluting stents, essentially nullifying a previous Supreme Court decision. |
Salon.com
June 20, 2001
Jake Tapper |
Dueling horror stories Congressional advocates of competing patients rights bills stage rival Capitol Hill press events as the health war heats up... |
CFO
August 1, 2012
Vincent Ryan |
High Court Upholds Health-Care Reform The Supreme Court's ruling leaves companies with decisions to make. |
Investment Advisor
April 2008
Melanie Waddell |
401(k) Participants Can Sue Advisors should take heed, as a high court rules in favor of 401(k) participants; will a torrent of similar lawsuits ensue? |
The Motley Fool
March 29, 2011
Brian Orelli |
Much More Than a Generic Lawsuit The Supreme Court will decide generic-drug makers fate. |
Chemistry World
March 23, 2012
Rebecca Trager |
Court throws out patent covering drug dosing The US Supreme Court has said that medical tests that rely on correlations between drug doses and treatment cannot be patented because they are based on laws of nature. |
BusinessWeek
September 16, 2009
Catherine Arnst |
The Truth About Malpractice Lawsuits President Barack Obama tapped into a large vein of public support when he suggested recently that he is open to reforming medical malpractice laws. |
Managed Care
January 2001
Michael Levin-Epstein |
Clinton's Regulations May Be Model For Patient-Rights Legislative Push That handiwork might just provide a preview of the type of patient-rights legislation a sharply divided Congress might produce... |
Salon.com
December 11, 2000 |
Florida Supreme Court clarifies As the U.S. high court hears oral arguments, the Florida court says its ruling was based on state law... |
Pharmaceutical Executive
August 1, 2011
Jill Wechsler |
The Supremes Shape Pharma A number of important decisions from the Supreme Court will affect drug marketing, research, and regulation |
BusinessWeek
November 18, 2010
Greg Stohr |
Wal-Mart vs. a Million Angry Women Wal-Mart wants the Supreme Court to block a huge gender-bias suit. |
Managed Care
March 2001
Michael Levin-Epstein |
Managed Care Again Seen on Capitol Hill As Ripe for Reform Of the many health care issues circulating in the nation's capital, managed care reform is back as the biggest of them all... |
BusinessWeek
February 10, 2011
Paul M. Barrett |
Attack of the Commerce Clause A new assault on regulation is gathering force -- and it's deploying a constitutional weapon |
Managed Care
December 2006 |
Compensation Monitor More than half of the nation's HMOs use pay-for-performance programs. |
Managed Care
March 2002
Charles Downey |
The Department of Managed Care California sets a precedent again, with a bold effort to regulate the HMO industry. While the new Department of Managed Health Care is facing down 50,000 consumer gripes monthly, director Daniel Zingale intends to keep administrative red tape from overwhelming everyone... |
BusinessWeek
June 22, 2011
Greg Stohr |
Wal-Mart Case: Another Loss for Trial Lawyers The Supreme Court's ruling is the latest in a series of decisions that make it clear the justices aim to curb mass litigation. |
Fast Company
Samantha Cole |
What Today's SCOTUS Ruling Means For Pregnant Employees Hopeful news for working families today: In a 6-3 decision, the Supreme Court threw out a lower court ruling which blocked a woman's discrimination lawsuit against her former employer, reviving the case. |
Fast Company
Neal Ungerleider |
Net Neutrality Is Back In Court Again Net neutrality is back in court again -- and this decision could undo federal regulations that protect the principle. |
Salon.com
July 4, 2001
Alicia Montgomery |
Could just anyone get a pacemaker like Cheney's? Not necessarily, HMO critics say. And Bush has already promised to veto a bill that would help patients get care as good as the vice president's... |
Salon.com
June 13, 2001
Jake Tapper |
Health showdown looms on Capitol Hill The patients bill of rights shapes up as the first true battle between Bush and the newly aligned Congress... |
The Motley Fool
March 5, 2009
Brian Orelli |
The Dilemma for Drugmakers There's no safe place to hide. |
On Wall Street
September 1, 2012
Alan J. Foxman |
Looking at Illinois Court's Ruling on Non-Compete Clause Our legal analyst explores one state s new rules on employment agreements. |
Managed Care
August 2001
Frank Diamond |
Consumers Dare You to Just Say 'No' The backlash has helped push a Patients' Bill of Rights forward, challenging the very nature of cost containment. Ironically, enrollees may be shortchanged... |
Managed Care
May 2002
Sharon Baker |
Self-Funded HMOs on the Rise Escalating premiums, changing attitudes play a role in employers' decision to take on the same thing that burned many physicians: financial risk |
Managed Care
May 2000 |
Texas-Aetna Incentives Settlement Worries Some Capitated Physicians If the Texas deal ignites a trend away from the use of incentives to keep utilization down, then some capitated physicians worry it will put them in a tight spot. |
Managed Care
January 2007
Maureen Glabman |
Will 'Mea Culpa' Work for Health Plans Too? Hospitals and physicians, to varying degrees, are finding that doing the right thing is good business practice. |
Salon.com
December 4, 2000 |
What the court rulings mean Were Monday's rulings in Florida and the U.S. Supreme Court a victory for Bush or Gore? Our experts weigh in... |
The Motley Fool
March 29, 2011
Alyce Lomax |
Another Big Problem for Wal-Mart The latest in Wal-Mart's plethora of problems has taken the company all the way to the Supreme Court. A proposed class action lawsuit would pit more than a million female employees against the corporate giant. |
Information Today
May 12, 2015
George H. Pike |
Supreme Court to Address Standing to Sue for Data Breaches and Privacy Violations The ability of individuals to seek legal recovery for data breaches or the posting of inaccurate information or to defend their privacy rights may soon be impacted by the Supreme Court of the United States. |
Registered Rep.
March 15, 2012
Kristen French |
Due Diligence: Step Back Rakoff, SEC-Citigroup Settlement Could Stand Judge Jed Rakoff may have overstepped his authority, said a federal appeals court today. In a procedural decision, the court wrote that the Securities and Exchange Commission has a good chance of overturning Rakoff's rejection of a $285 million SEC settlement with Citigroup. |
Salon.com
December 13, 2000 |
Split over the decision Two law professors offer two views of the Supreme Court ruling. Rotunda: The Florida court was acting like a psychic hot line; Raskin: The Supreme Court has disgraced itself... |
BusinessWeek
December 29, 2010
Peter Coy |
Commentary: The Health-Care Act on Trial The health-care insurance mandate isn't a ploy to expand Congress' power. It's a way to address unique problems. |
