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” In this case, the plaintiff was a transgender woman denied coverage under the Houston County Sheriff’s Office health insurance plan (a self-insured plan administered by Anthem Blue Cross Blue Shield) for gender-affirming care prescribed for her gender dysphoria diagnosis. [read post]
19 Mar 2024, 8:42 pm by Adam Levitin
A complication is that one of the defendant entities is the Donald J. [read post]
13 Feb 2024, 11:53 am by Phil Dixon
This post summarizes a published criminal law case released by the Fourth Circuit Court of Appeals during January 2024. [read post]
26 Jan 2024, 3:00 am by Jim Sedor
National/Federal Billionaires Wanted to Save the News Industry. [read post]
22 Feb 2023, 1:07 pm by Dennis Crouch
  Stroud is General Counsel at Unified Patents – an organization often adverse to litigation-funded entities.[1] He is also an adjunct professor at American University Washington College of Law. [read post]
31 Jan 2023, 9:31 am by Greg Reed
What To Do When Someone I know becomes Disabled Part 3 Appealing for benefits is best done under the guidance of an experienced disability lawyer. [read post]
2 Sep 2022, 4:33 pm by Cynthia Marcotte Stamer
As companies that purchased health insurance and their employees or other individuals who received health insurance from certain Blue Cross Blue Shield entities wait to hear how to claim their share of the $2.67 billion In re: Blue Cross Blue Shield Antitrust Litigation private federal class action civil antitrust lawsuit settlement (“Settlement”) finally approved August 9, 2022 against the… [read post]
18 Mar 2022, 4:00 am by Jim Sedor
The move for these types of advisors to start helping Ukrainian leaders comes as Western sanctions have led to lobbyists distancing themselves from Russian backed entities. [read post]
22 Feb 2022, 1:50 am by Kevin Kaufman
Return to competitive, free trade policies: Since 2018, the United States has embarked on a trade war to shield legacy industries from competitive pressures while failing to address trade practices of other nations. [read post]
20 Feb 2022, 9:01 pm by News Desk
As part of its enforcement activities, the Food and Drug Administration sends warning letters to entities under its jurisdiction. [read post]
8 Jul 2021, 6:41 am by Daniel
According to the Florida Highway Safety and Motor Vehicle Department, all other motorcycle riders don’t have to wear a helmet – though helmet use is generally a good idea.Proof of insurance includes “a health insurance card (or actual policy or declarations page) from an HMO or Blue Cross/Blue Shield or some other recognized health insurance provider as proof of required medical insurance. [read post]
26 Apr 2021, 2:13 pm by Javier Dominguez
We are also involved in an antitrust case, alleging price fixing and allocation of territories against numerous Blue Shield and Blue Cross entities that is pending in Alabama, and is considered one of the largest antitrust cases ever filed. [read post]
3 Feb 2021, 3:48 pm by Unknown
Blue Cross Blue Shield of Michigan (Medicare Like Rates)United States v. [read post]
14 Dec 2020, 4:42 pm by Brad Schnure
The four Republican members of the Senate Budget & Appropriations Committee will move an amendment tomorrow to legislation restructuring Horizon Blue Cross Blue Shield of New Jersey to require a proposed $600 million payment from the insurer to be deposited into a new nonprofit entity that is dedicated to rate stabilization and improving the quality and efficiency of health care in New Jersey. [read post]
12 Dec 2020, 7:37 am by Brad Schnure
It has been suggested that the $600 million is not needed by Horizon Blue Cross Blue Shield to ensure quality health care and the payment can be sustained. [read post]
2 Dec 2020, 2:45 am by Jack Sharman
In a “blue collar” prosecution, there may be defenses such as misidentification, alibi, or shoddy forensics, but there is usually no not a dispute that a crime has occurred: the bank was robbed, child pornography was created, the meth lab was operated. [read post]
16 Jun 2020, 2:18 pm by Kevin LaCroix
John Reed StarkIs a company’s post-breach forensic report subject to discovery in subsequent breach related litigation? [read post]
1 Jan 2020, 9:00 am by Staff
Under Stark Law, physicians (and immediate family members) who have a financial relationship with an entity that provides “designated health services” can’t refer patients to that entity and the entity can’t bill Medicare or Medicaid – unless an exemption is allowed. [read post]