Search for: "A. v. Oxford Health Insurance" Results 1 - 20 of 93
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4 Mar 2020, 10:50 am by geoff.rhiel@thomsonreuters.com
Oxford Health Insurance, 2020 WL 808236, the Court held that it is an abuse of discretion for an insurance company to rely on unreasonable medical necessity guidelines, to decide benefit claims, when these guidelines are inconsistent with the standards of care generally accepted in the field of mental health treatment. [read post]
4 May 2008, 5:52 am
NO-FAULT - HEALTH INSURER - SUBROGATION - LACK OF PRIVITY- "PROVIDER OF HEALTH CARE SERVICES" UNDER NO-FAULT Oxford Health Plan v. [read post]
26 Jan 2017, 1:30 am by Thaddeus Mason Pope, JD, PhD
Jessie Hill Mental Health and Other Behavioral Health Services - John V. [read post]
10 Jun 2013, 8:26 am by laborprof lpb
The Supreme Court issued three opinions today, and among them was Oxford Health Plans LLC v. [read post]
10 Jun 2013, 8:10 am by Tom Goldstein
This morning in an opinion announced by  Justice Kagan for a unanimous Court, the Court held that the arbitrator’s decision in this case, which determined that the contract between the insurance company and doctors authorized class action arbitration, survives judicial review under §10(a)(4) of the Federal Arbitration Act. [read post]
26 Nov 2012, 8:57 am by Lawrence Solum
Andrew Koppelman (Northwestern University School of Law) has posted 'Necessary,' 'Proper,' and Health Care Reform (Nathaniel Persily, Gillian Metzger, and Trevor Morrison, eds., The Health Care Case: The Supreme Court's Decision and Its Implications, Oxford University Press, 2013 (Forthcoming)) on SSRN. [read post]
20 Nov 2012, 7:05 am by Andrew Koppelman
  The whole story is elaborated in my forthcoming book, The Tough Luck Constitution and the Assault on Health Care Reform, forthcoming in February from Oxford University Press. [read post]
30 Oct 2012, 4:12 am by Lawrence Solum
” The Court’s recent decision on the constitutionality of the Affordable Care Act individual health insurance mandate in NFIB v. [read post]
18 Jan 2010, 9:24 pm
Co. of Am., 281 AD2d 260; Makastchian v Oxford Health Plans, 270 AD2d 25 [allegations of deceptive practices that would cause subscribers to believe that they still had health insurance when coverage had already been cancelled]); Provision Of Defense Counsel (see Elacqua v Physicians' Reciprocal Insurers, 52 AD3d 886 ["This threat of divided loyalty and conflict of interest between the insurer and the… [read post]
2 Sep 2015, 5:53 am by Thaddeus Mason Pope, J.D., Ph.D.
The Centers for Medicare & Medicaid Services (CMS) have vast stores of billing data that can be mined to promote high value care and prevent fraud; the same is true of private health insurers. [read post]
29 Sep 2019, 2:46 pm by Giles Peaker
Oxford City Council v Dr Piechnik, County Court at Oxford, 31 July 2019 (Unreported elsewhere, we’ve seen the judgment.) [read post]
25 Mar 2013, 9:46 am by Seyfarth Shaw LLP
John Sutter) claiming that a health insurer (Oxford Health) breached a physician-reimbursement contract. [read post]
27 Mar 2019, 1:00 am by Thaddeus Mason Pope, JD, PhD
Health Insurance Wendy Mariner, Boston University School of Public Health, Health Promotion and the Social Construction of Fault Govind Persad, University of Denver College of Law, Health Insurance and the Value of Treatment Differentiation Tara Ragone, Seton Hall University School of Law, Mental Health Parity at 10 Katherine Vukadin, Texas Southern University Thurgood Marshall School of Law, On Opioids and ERISA: The Urgent Case for a… [read post]