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328 results found

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Nelson Mullins Riley & Scarborough LLP | USA | 11 Apr 2019

Changes Coming to North Carolina Medicaid in 2019

Even without expanding Medicaid under the Affordable Care Act, North Carolina has over 2.1 million residents who are Medicaid beneficiaries…
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Mintz | USA | 14 Dec 2018

Antitrust Case Against BCBS to Continue Under Per Se Standard

In a long-running antitrust case, the Eleventh Circuit recently denied defendant Blue Cross Blue Shield’s interlocutory appeal of the district court’s…
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Quarles & Brady LLP | USA | 31 Oct 2018

All Tricks, No Treats: Record-breaking HIPAA Settlement Announced

It’s Halloween! The nights have grown longer, black cats and jack-o-lanterns haunt the neighborhood’s porches, and in keeping with the ghoulish spirit…
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Arent Fox LLP | USA | 27 Jun 2018

Fifth Circuit: Complaints Seeking Plan Benefits Need Not Quote Provisions, Especially When Insurers Refuse to Provide Documents

The Fifth Circuit recently held that plaintiffs seeking benefits, under plans governed by the Employee Retirement Income Security Act of 1974 and…
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Akerman LLP | USA | 19 Jun 2018

Per se versus ‘Rule of Reason’ Standard: Judge in Blue Cross Antitrust MDL Proceeding Certifies His Decision For Interlocutory Appeal

In a somewhat unexpected but highly significant move, United States District Judge David Procter (Northern District of Alabama), who is presiding over…
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Akerman LLP | USA | 26 Apr 2018

Reversal of Fortune: Rhode Island Court Withdraws “Tentative” Decision to Grant Summary Judgment to Health Insurer in Health System Antitrust Case and Sets Matter for Trial

In what was a surprise result, on April 23, Judge William Smith (Chief Judge of the District of Rhode Island) reversed the “tentative” decision he had…
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Taft Stettinius & Hollister LLP | USA | 17 Apr 2018

Insurers a Little Bluer as Court Finds Exclusive Service Areas are Per Se Unlawful

In June of 2014, we reported on an Alabama federal district court's decision not to dismiss a multidistrict class action lawsuit challenging an…
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Mintz | USA | 12 Apr 2018

Using “Old Cases,” District Court Applies Per Se Standard of Review to Blue Cross Blue Shield’s Restrictive Practices in Antitrust MDL

Since 2013, the Blue Cross Blue Shield Association has faced a series of purported class actions consolidated in the U.S. District Court in Alabama…
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Crowell & Moring LLP | USA | 9 Apr 2018

Iowa Enacts Legislation to Broaden Access to Association Health Plans

Iowa has enacted legislation to permit the offering of certain health benefit plans that would not be subject to the restrictions of the Affordable…
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Akerman LLP | USA | 9 Apr 2018

Partial Summary Judgment Granted to Plaintiffs in the In re Blue Cross Blue Shield Antitrust Litigation MDL Proceeding

On April 5, United States District Judge David Proctor (N.D. Alabama) granted partial summary judgment to the plaintiffs in the In re Blue Cross Blue…
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