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Managed Care April 2001	Court Ruling May Mean Resolution Or Revolution A key federal court ruling was expected at press time on a series of lawsuits against the HMO industry. Additionally, the nation's largest managed care operator reportedly is negotiating a settlement...
Managed Care February 2005	Class-Action Suit By 600,000 Docs Heading To Court Discusses a lawsuit filed by about 600,000 physicians against some of the biggest health plans in the country: Humana, PacifiCare, UnitedHealthcare, WellPoint, Anthem, and Health Net. Aetna and Cigna were named but settled out of court.
Managed Care July 2006	UnitedHealth Ruling Cites Flaws in System The judge who recently ruled in favor of UnitedHealth Group in a massive class-action suit that has been dragging through the courts since 1999, presented the state of the country's health coverage system as a somewhat dichotomous mess.
Managed Care January 2002 Donald Wilcox & Stephanie Kanwit	Debating RICO Suits vs. Health Plans States Failed To Protect Docs From Insurers... Patients Will Suffer; Greedy Lawyers to Blame...
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 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 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.
Salon.com June 13, 2000 David McGuire	Immune from liability The Supreme Court blocks a potentially important legal path for people who want to sue HMOs. Now, the spotlight is on Congress.
Entrepreneur August 2005 Jane Easter Bahls	Action Sacked A new law aims to protect you from class-action suits. Under the new law, all class-action lawsuits with plaintiffs from more than one state will have to be filed in federal courts, which tend to be less sympathetic than state courts to these suits.
Managed Care May 2000	The latest blow to managed care? The Texas attorney general's decision in the Aetna case is the latest in a long string of events that has gutted the fundamentals of managed care. Many in health care think that some or all of these developments have stripped health plans of their ability to manage care effectively....
Managed Care November 1999	Reform Bill's OK Prompts Clashes, Dire Predictions Not surprisingly, the House of Representatives' 275--161 vote affirming the Norwood-Dingell health care reform bill prompted wailing and gnashing of teeth from the insurance industry....
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 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 December 2002 Frank Diamond	Blues on the Move The resurgence of what was once primarily known as the insurer of last resort has been breathtaking. Can it be sustained? Even better, replicated?
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 September 2000	Key Texas Lawsuit Against HMO Now Off Court Docket The first lawsuit against an HMO under Texas's health plan liability statute has been settled...
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...
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.
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....
ifeminists June 30, 2004 Wendy McElroy	Jackpot Justice, the Wal-Mart Case No one knows how to definitively resolve the abuses and dangers of class action suits without denying the underdog access to the courts.
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 October 2000	Large HMOs Do Well While Small Ones Slide Weiss Ratings reports that the nation's HMOs lost a collective $187 million during 1999, despite the positive performance of most of the country's largest managed care organizations...
BusinessWeek March 24, 2011 Greg Stohr	Wal-Mart Faces the Big Box of Bias Suits A Supreme Court review of a massive gender discrimination suit against Wal-Mart could usher in new rules regarding class actions.
Managed Care August 2001 John Carroll	Info on Questionable Physicians Languishes in National Data Bank A clearinghouse was created that stores details about malpractice suits and disciplinary actions. So how come HMOs don't use it?
Managed Care March 2002	6 Large California Plans Link Doc Bonuses, Quality In what's being touted as an unprecedented effort, doctors and hospitals in California will be rewarded with bonuses of at least 5 percent for quality under a common set of standards adopted by six HMOs...
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.
Inc. August 2003 Anne Marie Borrego	Fairer Class Action Small-business lobbies are hailing a bill that will make it harder to win a class-action lawsuit.
BusinessWeek March 21, 2005 Aaron Bernstein	Wal-Mart vs. Class Actions The retail giant's novel defense in a massive sex discrimination suit could rewrite the playbook for all corporate class-action suits.
Managed Care May 2005 Michael S. Victoroff	Class Action Suit: Windfall or Just Wind? Is using the tort system and class action lawsuits the best way to solve problems between business professionals? That and $54.37 can go toward the creation of a foundation to bring about meaningful organizational change.
Entrepreneur March 2005 Jane Easter Bahls	Lay Down the Law Business owners afraid of losing big in a lawsuit should feel safer: A bill passed by the U.S. House of Representatives in September takes aim at nuisance lawsuits and class-action suits.
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.
The Motley Fool October 23, 2006 Tim Beyers	Foolish Advice on Business Liability Insurance Think your business won't get sued? Think again. Whatever the root cause, lawsuits seem to be rising. Here are three questions business owners need to ask themselves before buying liability insurance.
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...
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...
InternetNews September 28, 2006 Clint Boulton	PayPal Settles Suits For $5.2M Online payment specialist PayPal agreed to pay $5.2 million to settle two class-action suits and pledged to better explain how it protects users' financial data.
Managed Care July 2002 Philip H. Lebowitz	Provider Association Litigation: Better Choice for Dispute Resolution? The U.S. Court of Appeals for the Third Circuit has validated what may be a new avenue for provider-vs.-MCO dispute resolution that is preferable to the risks of traditional individual and class-action litigation.
Managed Care November 1999 Richard Hamer	Goals 2000: For HMOs: Administrative Retooling For MDs: Managerial Competency ...While HMOs retrench, physicians need to become more constructive participants....
Managed Care November 1999 Steve Wetzell	To Cure Risk Aversion, Employers Eye Risk Adjustment ...The more employers can get consumers involved in the game, the more providers will become directly accountable to consumers. Under traditional managed care, employers -- without realizing it -- have put themselves in the middle of the relationship between physicians and their patients...
Information Today January 2007 George H. Pike	Legal Update: Where the Lawsuits Are Updates on lengthy search-related lawsuits involving Google and Microsoft.
Managed Care April 2007 Daniel Y. Patterson	HMO - 21st Century Model The history of HMOs has been one of conflict between plans and physicians. Could global specialty capitation be a better way?
Registered Rep. September 1, 2006 Kristen French	Class Act Securities class-action lawsuit filings were at their lowest level in a decade in the first half of this year, according to a recent report.
CFO December 1, 2004 Lori Calabro	The Cost of Loyalty Even now, employees still invest their 401(k)s in company shares. And they still sue if the stock goes south.
Managed Care June 2001 Frank Diamond	HMO/Physician Strain Creates Invisible Costs Perhaps goodwill is too much to ask for. However, peaceful coexistence can certainly help all players reach their mutual goal -- a smooth relationship that helps to get the job done...
AskMen.com	Wal-Mart Case Has there ever been a worse time to be an employee in America?
Managed Care June 2002 John Carroll	States May Become Battleground In Push for Collective Bargaining Physicians at a local Texas hospital gained certification as a bargaining unit, and approached a managed care company to negotiate pay, but the effort failed. A new bill would allow physicians to ease toward collective bargaining nationwide.
Registered Rep. January 13, 2010 Halah Touryalai	Citi Files Motion To Dismiss In Bonus Pay Class Action The original lawsuit was brought on behalf of 6 former Citigroup brokers who allege that the payback terms on their upfront bonuses violate contract law, and that they do not owe the firm any money.
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 November 1999 Margaret E. O'Kane	Quality-Measurement Organizations Look Beyond HMO and POS Plans Now that the hard part -- forging quality-measurement systems for HMOs and point-of-service plans -- has been done, the next step is to adapt these programs to the rest of the health care industry....
The Motley Fool April 21, 2004 Bill Mann	Attack of the Killer Attorneys It's inevitable in every investor's career that he or she will hold a company that will attract class action lawsuits alleging some form of securities fraud.