Search for: "Blue Cross and Blue Shield of Michigan"
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29 Mar 2012, 6:34 am
Blue Cross Blue Shield of Michigan, No. 09-2607 (Aug. 12, 2011), the Sixth Circuit Court of Appeals reversed the district court’s decision to certify the class, which would have consisted of between 550 to 875 self-insured plans that entered into Administrative Services Contracts (“ASC’s”) with Blue Cross Blue Shield of Michigan (“BCBSM”). [read post]
9 Mar 2012, 7:06 am
The appeal had been taken by Blue Cross/Blue Shield of Michigan in connection with an antitrust suit brought by the State of Michigan which sought to enjoin Blue Cross from using most favored nation clauses in its contracts with Michigan hospitals. [read post]
12 Jan 2012, 7:58 am
Blue Cross Blue Shield of Michigan, No. 142671. [read post]
28 Dec 2011, 11:28 am
Health insurance giant Aetna, Inc. has filed a complaint in a Michigan federal district court claiming that Blue Cross Blue Shield of Michigan has engaged in a scheme to force Aetna to pay more for hospital services as part of a campaign to limit or reduce Aetna’s presence in Michigan. [read post]
26 Nov 2011, 2:21 pm
DOJ was fairly active in civil non-merger enforcement work, including its ongoing American Express litigation, the Blue Cross Blue Shield of Michigan case (concerning most favored nation clauses with hospitals), and settlements with MasterCard and Visa over merchant rules. [read post]
23 Nov 2011, 12:00 pm
Between January 2003 and December 2006, Sherman billed Medicare and Blue Cross Blue Shield of Michigan for a procedure known as an "avulsion of the nail plate" or "nail avulsion" procedure. [read post]
4 Nov 2011, 5:00 am
Blue Cross Blue Shield of Mich., 418 F.App’x. 430 (6th Cir. 2011). [read post]
3 Nov 2011, 9:37 am
Through careful enforcement actions, such as the Blue Cross Blue Shield of Michigan matter, the DOJ has taken a stand for competition and is working to prevent further consolidation of these markets. [read post]
18 Oct 2011, 9:00 am
The event included speakers such as Alisa Bennett from Blue Cross Blue Shield of Michigan; Greg Rhodes from Mercer Health and Benefits, LLC; Margo Johnson from Mercer Health and Benefits, LLC; Nancy McKeague from Michigan Health and Hospital Association (MHA); and Julie Mann from JMann Consulting Group. [read post]
17 Oct 2011, 1:15 pm
A legislative effort to convert Blue Cross Blue Shield of Michigan, a nonprofit organization that controls 70% of Michigan's insurance market, into a for-profit insurance company is encountering strong opposition from the chair of the state's Senate Insurance Committee. [read post]
14 Oct 2011, 2:50 pm
Before blowing the whistle at the SEC, Flynn blew the whistle on health care fraud: Flynn also was the whistleblower in the 1995 Medicare fraud case against Blue Cross Blue Shield of Michigan. [read post]
13 Sep 2011, 2:42 pm
This point is reflected in the ongoing litigation against Blue Cross Blue Shield of Michigan and American Express.International Cooperation, CoordinationThe acting antitrust chief said that she worked closely with her predecessor, Christine Varney, setting antitrust priorities. [read post]
31 Aug 2011, 4:57 pm
The lawsuit resulted in a government settlement with Blue Cross Blue Shield of Michigan alleging that the company had cheated Medicare by submitting false records in connection with audits of Medicare payments to hospitals. [read post]
27 Aug 2011, 4:34 am
VPA, P.C.Court: U.S. 6th Circuit Court of Appeals Docket: 10-1494 Opinion Date: August 23, 2011 Judge: Boggs Areas of Law: Government & Administrative Law, Government Contracts, Health Law, Public Benefits, White Collar Crime Doctors filed suit, alleging violations of the False Claims Act, 31 U.S.C. 3279 and the Michigan Medicaid False Claim Act, as qui tam relators on behalf of the United States/ The claimed that the business defrauded the government by submitting Medicare… [read post]
Superiority Requirement for Class Certification: New Sixth Circuit Decision Makes Interesting Points
23 Aug 2011, 5:00 am
Blue Cross Blue Shield of Michigan, 2011 U.S. [read post]
28 Jul 2011, 5:05 am
Michigan No-Fault has created a system of health care that’s more comprehensive than Blue Cross Blue Shield, Medicare, Medicaid, workers’ comp and anything else. [read post]
14 Jul 2011, 1:53 pm
On July 13, 2011, the Michigan Supreme Court granted the application for leave to appeal in Attorney General v Blue Cross Blue Shield of Michigan, No. 142670. [read post]
29 Jun 2011, 2:24 pm
She pointed to two matters in ongoing litigation—the Antitrust Division’s lawsuit challenging Blue Cross Blue Shield of Michigan’s Most Favored Nation Clauses with hospitals, and the Antitrust Division’s challenge to merchant fees in its lawsuit against American Express. [read post]
1 Mar 2011, 12:18 pm
The action is notable because it is the first unilateral conduct case brought under Sec. 2 of the Sherman Act in over a decade and because it is the first case brought by the Antitrust Division in the health care sector since the October 2010 civil antitrust lawsuit against Blue Cross Blue Shield of Michigan (BCBSM). [read post]
28 Feb 2011, 11:13 am
The Justice Department did file antitrust suits against companies such as American Express and Blue Cross Blue Shield of Michigan. [read post]
