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Vol. 19, Nos. 1-49, pp. 1-1800 Jan. 7 - Dec. 23, 2010 A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z
E-HEALTH
Telemedicine
See TELEMEDICINE
Cochlear implants
Faulty devices, maker reimbursement of providers for services, advisory opinion, 1273
Kickbacks, maker settles allegations (D. Colo.), 829 N.C., hearing aid coverage for young people, new law, 812 Preauthorization requirements not complied with, no abuse in limiting nose surgery reimbursement (D. Haw.), 648
Medicaid federal matching funding boost inaction could lead to recession, governors say, 935
Cal., insulin injections by unlicensed school staff (Cal. Ct. App.), 839; review granted (Cal.), 1387
Colleges and universities Medic training and licensing for veterans Teaching hospitals
Excessive fines, false enrollment application of medical center, overpayment recoupment not punitive (11th Cir.), 1218
SNFs, employee job records subject to discovery (Cal. Ct. App.), 652
Discovery in malpractice suits, impact, 1265
Health information exchanges (HIEs) Incentives
Expansion to behavioral health, mental health, and substance abuse providers
Meaningful use
Comments on final rules, 1015
Congressional letter urges CMS to redefine, 304 Final rules released, 976 Medicaid, CMS fact sheet, 1025 Multi-campus hospitals, CMS position unchanged, 1171 Proposed and interim rules, 26 Questions of House panel, 1023 Senate committee chairs urge changes, 499 Patient safety and health IT products, Grassley (R-Iowa) asks FDA about its role, 304 Physician offices, increased use, 80 Privacy framework proposed by FTC, 1703 Red flag rules
See IDENTITY THEFT
Unencrypted, data breaches reporting, 210 VA hospital security measures matter of agency discretion (D.P.R.), 306 White House advisers' report on facilitating data exchange, 1744
Abortion providers may seek La. state medical malpractice fund benefits, officials not immune from suit (5th Cir.), 1755
FQHCs, P.R. agency required to make Medicaid wraparound payments (1st Cir.), 1522 Medicaid drug reimbursement cuts, state law claims against federal officials (D. Minn.), 282; appeal filed (8th Cir.), 571 N.Y., anti-subrogation law challenge dismissed (W.D.N.Y.), 1320 Protection and Advocacy for Individuals with Mental Illness Act suit seeking access to state agency mental health records (7th Cir.), 609; stay denied, 777; (U.S., rev sought), 1108 Sovereign immunity, state policy of not licensing nurses in methadone maintenance program (M.D. Pa.), 973 State agency barred from seeking medical records of mentally ill individuals who died at state treatment facility (U.S., rev grant), 878; cases pending as new term begins, 1307
See PATIENT DUMPING
Anti-kickback laws
Ambulance service reimburses city for emergency dispatch, advisory opinion, 1592
County grants for county emergency operations center, advisory opinion, 867 Mutual emergency response arrangement between municipalities, limited cost-sharing waiver, advisory opinion, 867 Bacterial meningitis, first fines under new Cal. standard, 619 Balance billing for emergency room costs, state law breach alleged (S.D. Cal.), 1747 Chicago paramedics' overtime claims should have been considered (7th Cir.), 749 EMTALA issues
See PATIENT DUMPING
Gross negligence burden of proof for malpractice claims against emergency care providers does not violate state constitution (Ga.), 390 Ind. workers' compensation, new law prohibits delay in emergency care for work-related injuries, 414 Indigent residents, county must pay (Cal. Super. Ct.), 1038 Medic training and licensing for veterans Ostensible agency, hospital liability for emergency room care by independent contractor (Nev.), 987 Out-of-network care
Beneficiary not entitled to 100 percent of costs (5th Cir.), 567
HMOs need not pay maximum prices (Fla. Dist. Ct. App.), 309 Refusal to treat black men from Africa with AIDS, bias claim may proceed (D.N.J.), 1293 Trauma surgeon, claims related to disciplinary actions for alleged altercation and on-call schedule removal, 2 cases (D. Nev.), 1328 Vt., doctors may be questioned about ordinary course of business review of misdiagnosis death (D. Vt.), 250 Whistleblower and civil rights laws do not protect physician who sent mass e-mail complaining about staff (Mich. Ct. App.), 1456
ERISA plans
See ERISA
Sherman Act and RICO violations by health insurers and brokers, dismissal of employee benefit plans and policy holders claims (3d Cir.), 1205 Unemployment compensation owed pharmacy technician fired for excessive absences due to medical condition (Ind.), 803
See ERISA
ADA
See PATIENT DUMPING
Assisted suicide
See ASSISTED SUICIDE
See HOSPICE CARE
N.Y., information about options, new law, 1175
Home dialysis supplies and equipment, repayment of $19.3M (M.D. Tenn.), 450
Miss. law does not permit extensions after expiration of CON (Miss.), 269 Ohio property tax, no exemption for dialysis facility, insufficient charitable institution proof (Ohio), 1479 Overtime, FLSA claims of dialysis technician may proceed (N.D. Ill.), 1590
ACOs, regulation and enforcement, BNA Insights, 1333
ADA, landmark year for DOJ enforcement, 911 Anti-kickback and false claims changes, impact on drug and medical device industries, 1094 Civil fraud unit established by U.S. Attorney for Southern District of N.Y., 496 Consumer Information and Insurance Oversight Office established by HHS, 664 Deferred prosecution agreements and nonprosecution agreements
Accountability, report, 66
Third-party monitoring, DOJ guidance for prosecutors, 803
Aggressive enforcement promised by DOJ official, 804
Compliance burden, problems for defense counsel, 804 Falsity, speakers debate differing views, 807 Judgments in FY2010 of $2.5B, DOJ announcement, 1640 Private qui tam provision, speaker questions fairness, 805 Federal government contractors and subcontractors, BNA Insights, 513 Fraud prevention summit, HHS and DOJ increase efforts, 1240 Fraud strike forces
Expansion in budget request, 173
HEAT strike force goals, 489 Nationwide crackdown, 90 persons charged, 1020 Real-time access to CMS data, 490 Testimony on effectiveness, 337 Health care reform
Effect of PPACA, Justice Dep't focus on competition, 898
New entities, independent audits, 1102 Oversight crucial, lawmakers say, 645 HHS Inspector Gen. recoveries of more than $3B expected for first half of 2010, 829; savings and potential recoveries for year of $26B, 1779 Horizontal merger guidelines Insurance scams, Sebelius urges states to take action, 498 Part D oversight limited, testimony before Senate panel, 337 Payment error rate measurement program, final rule, 1140 Recapture audits to recover improper payments, federal agencies directed to expand use, 380 Red flag rules
See IDENTITY THEFT
Stark law technical violations, warning from attorneys, 795
N.Y., agreement to stop pharmaceutical waste discharges into watershed, 109
Nurse practitioners' pay bias claim based on PAs wage scale fails (Fed. Cir.), 20
Florida
New law to eliminate illegal pill mills (N.D. Fla.), 1396
Noneconomic damages cap
Constitutionality upheld (M.D. Fla.), 1394
Retroactive application (Fla. Dist. Ct. App.), 350 La., license for nonpermanent alien resident practical nurse barred, state law upheld (E.D. La.), 1280 Md., noneconomic damages cap challenge (Md.), 589 Medical malpractice settlements, filing required notices no breach of doctor's constitutional rights (7th Cir.), 1164 N.Y., law barring pharmacist license for aliens unconstitutional (S.D. N.Y.), 1388 Part B fee schedule, failure to revise, Cal. counties may pursue claims (9th Cir.), 1435
CON, out-of-state diagnostic equipment usage by cancer center (N.C. Ct. App.), 561
DME Licensed prescription drug firm providing oxygen under doctor's prescription, expert report required (Tex. App.), 815 Needles and sharps
Administrative services agreement no basis for providers' claims against sponsors of employee health plans (N.D.W. Va.), 1705
Autism applied behavior analysis therapy
Denial of coverage (E.D. Mich.), 1748
Therapist not eligible provider (D. Or.), 70 Chiropractors' claims against BCBS allowed, RICO claims fail (N.D. Ill.), 747; ERISA claims against WellPoint dismissed, 1432 Conflict of interest, requests for discovery after Glenn, BNA Insights, 1149 Customary and reasonable charges, administrator's speculation abuse of discretion (5th Cir.), 1212 Deferential review not barred by single honest mistake (U.S., judg rvs), 600 Discretionary clauses
Mont. state insurance commissioner ban (U.S., rev sought), 229; review of filings, 602; (rev den), 717
N.J., dismissal of putative class (D.N.J.), 1747 State law bans, 229 Experimental treatment exclusion of coverage for child's bone cancer treatment, claim allowed (S.D. Ohio), 140 Facility fee for use of surgical suite associated with physician's office, excluded by health plans (D.N.J.), 1213 Failure to convert to individual policy, refusal to pay not abuse of discretion (4th Cir.), 872 Fair share laws, San Francisco ordinance requiring employee health care expenditures by local business, Solicitor General urges denial of review (U.S., brief filed), 771; (response brief filed), 832; (rev den), 901; summary judgment for city and county (N.D. Cal.), 1173 Fiduciary duty breach
Administrator's failure to do enough to help participant, penalty (W.D. Wis.), 1354
HMO participants not told coverage advice from call center representatives not binding (7th Cir.), 937; Sec'y of Labor files amicus brief, 1749 Health care workers' suit for unpaid meal breaks, no remedy (W.D. Pa.), 279 Hospital's fiduciary breach claims against plan administrator not covered by patient assignments (S.D. Tex.), 1652 Internal criteria, plan administrator should have disclosed but no penalty (C.D. Cal.), 831 Kagan nomination to Supreme Court, 675 Likely harmed, failings of summary plan description, plan liability (U.S., rev grant), 1307; (amicus briefs filed), 1520; (oral arg), 1649 Mont. law on premiums duplicative, preempted (D. Mont.), 1172; premiums of similarly-situated individuals, §702, 1433 Out-of-network services
Allowable amount challenge (N.D. Ill.), 141
Beneficiary not entitled to 100 percent of costs (5th Cir.), 567 Surgical group, only quasi contract and unjust enrichment claims survive (E.D. Mo.), 339 Preemption
Assignment of benefits, emergency care facility has standing to sue insurers for treatments (S.D. Tex.), 278
Dentists' state law claims alleging underpayments by insurer preempted (11th Cir.), 28 D.C. statute regulating plans (D.C. Cir.), 981 Federal common law unjust enrichment claims against providers (W.D. Wis.), 240; breach of contract claim preempted, 678 Hospital state law promissory estoppel claim preempted (E.D. Ark.), 29 Indian tribal plan may pursue state claims against administrator (10th Cir.), 500 MEWAs, purchase of insurance by individual (M.D. Fla.), 179 Misrepresentation of plan coverage state law suit allowed (S.D. Miss.), 71 Pharmacy's state law claims alleging CareFirst failed to pay for blood-clotting factor (D. Md.), 938 Preferred provider agreement terms, hospital's underpayment suit remanded to state court (D.N.J.), 30 Primary care physician's suit against HMO not preempted (D. Nev.), 384 Providers' underpayment claims against insurer (11th Cir.), 979 Rescission suit belongs in state court (N.D. Cal.), 242 R.I. BCBS suit against chiropractors preempted (D.R.I.), 1560 SNF, state law claims against MA insurer not preempted (E.D. Wis.), 1651 Underpayment for medical services, provider's breach of contract claim (D. Colo.), 1139 Utah discretionary clause limitation preempted (10th Cir.), 69 Residential mental health care for dependent's eating disorder, denial not abuse of discretion (N.D. Cal.), 383 Structural conflicts of interest
Dual role administrators, standard of review and discovery issues, 125
Limited discovery allowed (D. Neb.), 679 Stem cell transplant denial, discovery (D. Neb.), 456 Surgical assistants company may pursue some claims against health benefit plan administrators (S.D. Tex.), 276 Tex. bars discretionary clauses in all insurance policies, 1706 Trade association lacks standing to sue (11th Cir.), 28 Venue, fiduciary seeking declaratory judgment that it complied with disclosure requirements (E.D. Mo.), 1707 Wrongful discharge, physician at-will employee (D.D.C.), 1167
See ASSISTED SUICIDE
Allergic reaction to stents claim dismissed for lack of scientific proof (Wash. Ct. App.), 316
Cat's paw liability theory
Discrimination, jury verdict in favor of African American paramedic upheld (7th Cir.), 1547
LPN alleging racial bias by supervisors, no liability for parent company or temporary agency (11th Cir.), 563; (U.S., rev sought), 1307; (rev den), 1380 Trial judge should have made threshold decision on sufficiency of proof (U.S., rev grant), 562; trial lawyers group may file amicus brief, 1165; cases pending as new term begins, 1307; (oral arg), 1511
No bar to proof of hospital treatment write-offs in negligence case (Kan.), 814
Proof of medical write-offs to calculate economic damages (Ohio), 691 Disclosure of doctor's income, reverse discrimination suit, trial judge error harmless (4th Cir.), 1381 Expert testimony
See EXPERT WITNESSES
Medical bills and proof of write-offs allowed to show value of medical services (Mass.), 1069 N.Y. procedure, documents not sufficient for dismissal of claims against peer review members (N.Y. App. Div.), 540 Peer review issues
Inadvertent document production during discovery, waiver of federal and state privileges (D. Alaska), 1143
Malice standard of proof (U.S., rev den), 286
See CAUSATION
Negligence by third party not recognized tort (Ariz.), 690
Sanction (Ga. Ct. App.), 541
Behavioral health care provider's employment of individuals excluded from participation, 336
Board member's exclusion preview of things to come, IG official says, 1694 Civil rights claim of dentist excluded from Medicare and Medicaid plan rejected (W.D. Pa.), 307 Drug company executives, OxyContin misbranding, 12-year bans upheld (D.D.C.), 1774 Enforcement gaps, response Fla., home health agency ownership change denied, purchaser terminated from Medicare (Fla. Dist. Ct.), 1492 Former pharmaceutical company board member excluded from participation, 1638 Nursing home agrees to pay to settle allegations of hiring excluded persons, 1697 SNF agrees to pay for improper billing for services of excluded worker, 713 Special advisory bulletin on effects of exclusions, HHS Inspector Gen., 1593
Challenges for nonprofit hospitals, BNA Insights, 622
Nonprofit corporate law developments in 2009, BNA Analysis & Perspective, 111
Bankruptcy, dismissal of trustee's suit against fiscal intermediary for not issuing timely Notice of Program Reimbursement (10th Cir.), 1141
COBRA extension, exhaustion required before suit against former employer for subsidy (D.D.C.), 647 Denial of Medicare claims, physician-target of fraud investigation failed to exhaust remedies (D.N.J.), 1033 ERISA, failure to exhaust administrative remedies bars class certification (8th Cir.), 533 Part D prescription drug benefits, dismissal of beneficiaries' suit against insurer (9th Cir.), 1285 Peer review, failure to exhaust remedies created by bylaws (Mass. App. Ct.), 1067 Plan administrator's failure to provide written notice of claim denial (5th Cir.), 1212 Public health worker, failure to exhaust remedies or claim retaliation (11th Cir.), 529 Test cheating dispute, fired workers failed to exhaust (5th Cir.), 528 Underpayments alleged, physician and ambulatory surgical practice must pursue appeals (D.N.J.), 1321
Autism applied behavior analysis therapy
See AUTISM
Exclusion of coverage for child's bone cancer treatment, claim allowed (S.D. Ohio), 140 Stent implant in child, claims dismissed (3d Cir.), 352
See also CAUSATION
Closing arguments, display of unofficial trial transcript of expert testimony (Tenn. Ct. App.), 1113 Concealment of medical condition alleged, expert testimony shows sufficient factual dispute (Tenn. Ct. App.), 508 Defective internal cardioverter defibrillator, physician standards of care (S.C. Ct. App.), 1290 Draft report used for settlement, physician's breach of contract claim against law firm and professional group allowed (E.D. Pa.), 1605 Expert signing pre-suit affidavit must be board-certified, waiver (N.J.), 1109 Failure to supervise, ordinary negligence not medical malpractice, no expert testimony required (N.C.), 543 Informed consent, subclavian bypass risk, expert proof not required (S.C.), 1288 Justice Dept. memos cited by prospective government expert witness must be produced in false claims suit (D. Idaho), 208 Locality rule
Inapplicable, pediatric nurse practitioner testimony on uniform practice (La. Ct. App.), 1565
Nationwide standard of care expert testimony insufficient (Ark. Ct. App.), 221 New contradictory affidavit by expert may not bar summary judgment (Ohio), 1036 N.C., testimony on national nursing home standard of care (N.C. Ct. App.), 351 Nurses
EMTALA, nurse may testify on certain issues (D. Me.), 1108
Locality rule inapplicable, pediatric nurse practitioner testimony on uniform practice (La. Ct. App.), 1565 Motor vehicle accident as cause of psychiatric injuries (M.D. Pa.), 816 Wrongful death, testimony on postoperative care (Tenn. Ct. App.), 1331 Podiatrist license disciplinary action, subject may obtain expert's investigative records (Fla. Dist. Ct.), 1357 Pro-plaintiff bias alleged, exclusion improper (1st Cir.), 1110 Res ipsa loquitur
See CAUSATION
Stent implant in child, claims dismissed (3d Cir.), 352 Sterilization, testimony inadequate to support summary judgment (Tenn. Ct. App.), 353 Surgical sponge left in patient, expert proof not required for negligence suit (Tenn. Ct. App.), 1220 Texas, expert reports to establish standard of care
See TEXAS
Unreliability ruling erroneous (Tenn. Ct. App.), 1037 Vertebroplasty, radiologist may testify about standard of care applied to neurosurgeon (Mo.), 950 Va. law requiring active clinical practice, testimony on treatment for shingles pain allowed (E.D. Va.), 815 Wrong-site surgery law presumption, biopsy of wrong organ tissue (Del), 990
Cal. law barring opticians to provide services in same location as optometrists and ophthalmologists (E.D. Cal.), 694
Concealment of medical condition alleged, expert testimony shows sufficient factual dispute (Tenn. Ct. App.), 508 Noncompete clauses, buyout opportunity required (Tex. App.), 992 Novartis/Alcon Inc. merger, sale of cataract surgery drug to Bausch & Lomb (FTC), 1162 Vision Service Plan subsidiaries not tax exempt (S.D. Ohio), 917 Vitreoretinal surgery equipment makers settle antitrust disputes, 642 Contact the Webmaster at webmaster@bna.com Copyright © The Bureau of National Affairs, Inc. All Rights Reserved. |