Search for: "Southern Company Services, Inc. Healthcare Plan " Results 21 - 40 of 66
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15 Mar 2021, 6:33 pm by Matt Pulle
United Healthcare of Tennessee, Inc., 764 F.3d 563, 568 (6th Cir. 2014) Although not a disability case, Butler examined a denial of medical benefits under an ERISA plan and provided helpful examples of what the Sixth Circuit considers an arbitrary and capricious decision, including (1) ignoring “key pieces of evidence;” (2) failing to explain the plan administrator’s disagreement “with the opinions of [the claimant’s] treating… [read post]
15 Mar 2021, 6:33 pm by Matt Pulle
United Healthcare of Tennessee, Inc., 764 F.3d 563, 568 (6th Cir. 2014) Although not a disability case, Butler examined a denial of medical benefits under an ERISA plan and provided helpful examples of what the Sixth Circuit considers an arbitrary and capricious decision, including (1) ignoring “key pieces of evidence;” (2) failing to explain the plan administrator’s disagreement “with the opinions of [the claimant’s] treating… [read post]
5 Jan 2018, 5:35 am by Cynthia Marcotte Stamer
Continuing Fallout of 2015 Data Breach Provides Many Lessons For Other Businesses & Their Health Plans The $2.3 million (Resolution Amount) data breach settlement and other post breach fallout now bankrupt radiation oncology and cancer care provider 21st Century Oncology, Inc. (21CO)  is experiencing after data thieves hacked into the names, social security numbers and other private health and financial data of more than 2,213,597 individuals illustrates why your… [read post]
14 Dec 2021, 2:00 pm by Kevin LaCroix
(Note: in July 2018 – almost three years after the shareholder class actions commenced – the company changed its name to Bausch Health Companies, Inc.) [read post]
17 Mar 2010, 5:39 pm by Robert J. McKennon
For example, written contracts with healthcare providers state that they agree that, in consideration for all services received, they are obligated to pay the provider’s “usual and customary charges for such services. [read post]
25 Feb 2009, 10:28 pm
Put a compliance plan in place and make it operative.Second, these fraud cases create pressure on the health care system where the government assumes that there is a layer of fraud in billing and services provided to beneficiaries. [read post]
13 Sep 2010, 12:21 pm
Education Finance Partners and Affiliated Computer Services, Inc., plaintiff Fensterstock commenced a class action lawsuit in the Southern District of New York against Education Finance Partners and Affiliated Computer Services for engaging in fraudulent and deceptive practices in connection with the issuance of student loans.Lawsuit by deaf employee based on failure to provide sign language interpreter sent to jurySheppard Mullin Richter & Hampton LLPIn a… [read post]
20 Mar 2010, 6:00 am by Steven Peck
"We are especially interested when they have a quality-of-care service concern," said Terri Schroeder, head of regional quality for Aetna Inc. [read post]
26 Sep 2022, 7:59 pm by Cynthia Marcotte Stamer
Stamer works closely with employer and other plan sponsors, insurance and financial services companies, plan fiduciaries, administrators, and vendors and others to design, administer and defend effective legally defensible employee benefits and compensation practices, programs, products and technology. [read post]
30 Dec 2009, 6:27 pm by Law Lady
Rep. 3, Andrews Pharmaceutical Litigation Reporter December 28, 2009Biopharmaceutical company Cephalon Inc. has filed a federal patent infringement lawsuit against Teva Pharmaceuticals USA Inc. for trying to sell a generic version of its sleep disorder drug Nuvigil. [read post]
3 Jul 2018, 9:00 am by Robert Liles
  Virtually all of these private sector companies have previously been awarded one or more prior CMS audit contracts. [read post]
1 Feb 2011, 6:06 pm by Law Lady
Plaintiffs Helen Pitts, 78, Kenneth Roman, 47, Denise Hodges, 53, and Ricki Ainey 30, allege the Louisiana Department of Health and Hospitals plans to slash its program offering long-term, personal care services in the face of a $1.6 million budget deficit. [read post]
21 Jul 2014, 1:37 am by Matrix Legal Information Team
Healthcare at Home Ltd v The Common Services Agency, heard 23 June 2014. [read post]
26 Aug 2010, 3:23 am
District Court for the Southern District of New York granted an unopposed petition to confirm the $7 million arbitration award.Two new U.S. [read post]