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7 Jul 2021, 6:14 am
This scheme allowed insurers and companies to negotiate with doctors, labs, hospitals, and others for preferential prices, and, effectively, guarantees of patient business, in exchange. [read post]
22 Jul 2020, 7:29 am
In Insurance Company of the State of Pennsylvania (ICSOP) v. [read post]
7 May 2011, 6:00 am
The Standard Insurance Company filed in New Jersey Federal Court, the court recently rendered a decision which can have a negative impact for numerous physicians and other business professional that have Group Association Policies and also have an ERISA governed group policy from their employer. [read post]
17 Jan 2012, 12:00 pm
Federal Ins. [read post]
17 Jan 2012, 6:00 am
Federal Ins. [read post]
11 Oct 2022, 3:44 pm
Federal payments to Medicare Advantage insurers make up a correspondingly increasing share of total Medicare spending. [read post]
17 Nov 2021, 6:51 am
” Implications for Insureds: With retailers and other companies facing increased state and federal regulatory attention to telemarketing text messages—and with it a new wave of potential TCPA exposures—the Tenth Circuit’s decision is a reminder that the question of insurance coverage for alleged TCPA violations will vary based on the nature of the underlying allegations, the relevant policy language, and applicable state law… [read post]
1 Oct 2010, 4:55 pm
That requirement mandates that an insurance company pay out in health care claims at least 80% or, for larger employers, 85% of all premiums collected. [read post]
10 Feb 2013, 5:19 pm
The United States Federal Court for the Eastern District of Pennsylvania recently issued a decision granting in part and denied in part an insurance company’s Motion for Summary Judgment in the bad faith case of Dixon v. [read post]
13 Oct 2023, 2:33 am
Earlier this year the governor announced the state would be partnering with the nonprofit pharmaceutical company Civica Rx to produce its own insulin, which it plans to sell for $30. ( ASSOCIATED PRESS , STATE NET) Physician Group Claims Insurers Overcharging for Medicare Advantage American taxpayers are overpaying for Medicare Advantage, or Medicare Part C—under which insurance companies are paid by the federal government to manage patient… [read post]
16 Jul 2018, 7:50 am
The country's federal government has been tasked with rolling out private health insurance to some 500,000 of its citizens, which is proving - as one might imagine - quote a challenge:"Almost five months after announcing the ambitious program, the government is still working to lock in hospitals and insurance companies in time for its planned August launch. [read post]
21 May 2013, 6:31 pm
And that is about to become a big problem for those who also lack health coverage -- and for the health insurance companies trying to sell them coverage. [read post]
20 Jun 2016, 7:33 am
But those insurance companies don’t want to take the public relations hit for denial of these drugs that cost billions in research and development to get to market"Hence: ICER■ It's almost become too easy taking shots at the 3000% rate decrease, but the hits just keep on coming:"Health insurers are seeking steeper premium hikes in 2017 than in previous years ... [read post]
2 May 2017, 4:25 pm
The predicate for Bear Stearns’ liability was its own violation of the federal securities laws in its capacity as a broker/dealer. [read post]
15 Apr 2014, 1:51 pm
A lawyer can be very helpful when pursuing what may be a complicated case against the trucking company for its driver’s negligent acts.Avoid any discussions with the trucking company or its insurance company or lawyers. [read post]
2 Jun 2021, 1:00 am
” Note that the consent order expressly provides that it does not prevent the company from using any defense to any action by any federal or state agency or any private action. [read post]
30 Jun 2014, 4:49 pm
The regulations provide an explicit exemption for insurance provided by religious employers, such as churches. [read post]
30 Jun 2011, 6:36 am
The superseding indictment also charges that Perchinske fraudulently submitted liquidation and distribution request forms to Allstate Life Insurance Company, AIG and Oppenheimer Funds containing forged signatures of elderly customers, and then converted the proceeds to her personal use. [read post]
30 Jun 2011, 6:36 am
The superseding indictment also charges that Perchinske fraudulently submitted liquidation and distribution request forms to Allstate Life Insurance Company, AIG and Oppenheimer Funds containing forged signatures of elderly customers, and then converted the proceeds to her personal use. [read post]
1 Aug 2022, 11:52 am
While this reasoning conflicts with the plain policy language (and the case law outlined above) and ignores ambiguity, at least some federal courts have accepted the insurers’ position. [read post]
