Managed Care Litigation
Julie A. Barnes
Bureau of National Affairs, 2005 - Law - 789 pages
A practical reference written specifically for practitioners who handle managed care disputes to help them rapidly focus on key issues and expertly advise their clients. Managed Care Litigation offers in-depth analysis of all the important issues in managed care litigation. Providing both a basic overview and a comprehensive examination of the legal issues facing managed care practitioners, Managed Care Litigation gives practical guidance on common managed care disputes; the main features of a typical ERISA lawsuit and ERISA preemption strategies; utilization review and coverage disputes; prompt pay statutes; health plan liability laws, post-Davila; state insurance administrative processes; contractual disputes between payors and providers; managed behavioral health care litigation issues; litigating disputes arising under Medicare, Medicaid, and other federal health programs; antitrust laws and the defenses managed care entities and providers can use; and class action lawsuits.
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