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15 Jun 2023, 12:10 pm
” Conclusion and Implications While it didn’t act like one in this case, SPUD is a public utility district, i.e., a “local agency” that is a “public agency” (Pub. [read post]
29 May 2023, 10:00 am
From its very inception, the Medicare Advantage program has pursued two goals: Goal #1: Expand Medicare beneficiaries’ choices to include private plans with coordinated care and more comprehensive benefit than those offered under original Medicare.[11] Goal #2: Take advantage of efficiencies obtained under a managed care payment model and save Medicare money.[12] As expected, there are a number of Federal agencies and watchdog groups monitoring the private insurance plans… [read post]
24 May 2023, 9:51 am
Have they ever conducted an investigation into internal claims management directives? [read post]
22 May 2023, 10:58 am
The Court observed that CEQA expressly protects historic resources, and requires EIRs to discuss (and lead agencies to consider and adopt, if feasible) mitigation measures and project alternatives that would “substantially lessen” the project’s significant environmental effects. [read post]
17 May 2023, 11:05 am
EEOC Sues Total Systems Services for Disability Discrimination and Retaliation (March 29, 2023); EEOC Sues United Labor Agency for Disability Discrimination (February 15, 2023). [read post]
15 May 2023, 1:54 pm
Stamer has worked with health plans, employers, insurers, government leaders and others on these and other health benefit, workforce and performance and other operational and tactical concerns throughout her adult life. [read post]
15 May 2023, 11:09 am
The Court rejected their arguments that such a showing was unnecessary because the pubic agencies’ interests were actually different in that the agencies were required to balance environmental and health considerations against competing resource constraints and the interests of other constituencies; to the contrary, any such balancing already occurred before the Commission issued the CDP, and the litigation only involved defending that CDP, not determining its content. [read post]
12 May 2023, 4:57 pm
The firm has expertise in all real property matters, including full-service litigation and dispute resolution services, transactions, acquisitions, dispositions, leasing, construction, management, title insurance, environmental law, and redevelopment and land use. [read post]
8 May 2023, 12:28 am
This home health agency paid more than $38,000 to resolve allegations that it improperly employed a personal care assistant who was excluded from participation. [read post]
4 May 2023, 3:14 pm
Stamer has worked with health plans, employers, insurers, government leaders and others on these and other health benefit, workforce and performance and other operational and tactical concerns throughout her adult life. [read post]
2 May 2023, 12:51 pm
Unlike checking accounts at a local Texas financial institution there is no protection provided by the Federal Deposit Insurance Corporation (FDIC). [read post]
2 May 2023, 11:45 am
SCOCA granted the petition and ordered that the case be transferred back to the Third District “with directions to vacate its decision and reconsider the case in light of Friends of the Eel River v. [read post]
24 Apr 2023, 9:01 pm
”[35] Public comment may focus on the following issues, among others: Two of the Policy Statement’s methods for proving material interference—(1) an intent to interfere and (2) if the “natural consequence” is to impede understanding—are not supported by precedent.[36] Moreover, the absence of any need to prove actual material interference arguably goes beyond the plain language of the statute.[37] In recent years, federal courts have become more skeptical of… [read post]
22 Apr 2023, 7:16 pm
On the one hand, business may have misgivings about the policy directions and agendas of those who are now setting the "tone at the top" for ESG definitions, use, and valuation mechanisms. [read post]
21 Apr 2023, 8:40 am
Have a passion and understanding of insuring the individual client is treated with dignity and respect and is excited to work and learn collaboratively including understanding the value of non-attorney advocacy. [read post]
6 Apr 2023, 6:37 am
Speaking of the FTC, that agency also enforces the federal consumer protection laws, including section 5 of the Federal Trade Commission Act (FTCA) which prohibits unfair and deceptive trade practices affecting commerce. [read post]
27 Mar 2023, 12:45 pm
The Court held: “Section 21002 is not itself a directive to conduct environmental review independent of the EIR process. [read post]
25 Mar 2023, 6:14 am
For example, a 1987 article in the Journal of Risk and Insurance titled ‘Claim Settlement: An Empirical Study of Adverse Selection and Moral Hazard,’ discussed the concept of claims leakage and its impact on insurers’ profitability. [read post]
23 Mar 2023, 10:00 pm
Requiring people to obtain medical insurance! [read post]
21 Mar 2023, 10:33 am
Title I of the ADA prohibits discrimination based on disability in employment. [read post]
