Information of Interest to Health Plans & HMO's

IMPORTANT INFORMATION FOR HEALTH PLANS AND HMO'S

Managed Care Liability and HMO Malpractice
	Health Care And The Law Of Vicarious Liability
	Potential Exposure For Credentialing, Quality Assurance, Utilization Management And Medical Malpractice
	Liability For Coverage Denials By Managed Care Plans
	Managed Care Liability to Consumers of Health.
	Basics of Managed Care Liability and HMO Malpractice.
	What Managed Care Plans Need to Know About Lawsuits.
	Dealing with the Media in Managed Care Litigation.
	Third Party Liability Reimbursement Issues.
	What is MICRA?

Physician Credentialing and Peer Review
	Due Process Rights For Physicians Under the Potvin Case
	A Guide to Physician Disciplinary Hearings
New Case Law
	State Cannot Mandate Drug Benefits - Kaiser V. Zingale
	State Independent Medical Review Of Claim Denials Not Preempted - Rush Prudential V. Moran
	Health Plans Cannot Sue to Recover Liens under ERISA
	Health Plan Not Liable When IPA Insolvent, CMA v. Aetna
	Colonial Life Discovery Not Applicable To Psychiatric Disability Bad Faith Action
	Physician in Credentialing Action Not Entitled to Relief After Hospital Amends By-Laws
	State Law Requirements for Arbitration Clauses in Health Plans Not Preempted by Federal Law
	Hospital Lien Applies Only to Judgment, Not Settlement
	HMO’s Can’t Be Sued For Breach of Fiduciary Duty Under ERISA - Pegram v. Herdrich
For more information please see
	Archives
	Published Appellate Decisions
	Insurance Companies