The new 2010 Cumulative Supplement to Managed Care Litigation is 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. The supplement and its main volume are published by BNA Books, a division of specialized news and information publisher BNA, in conjunction with the American Bar Association (ABA) Health Law Section.
Managed Care Litigation is organized so that both in-house and outside counsel and executives can immediately access information they need, review the legal theories and processes involved, and get up to speed on case law. The treatise acts as a springboard to drafting pleadings or advisory memoranda by providing operational information, the regulatory platform, and a detailed analysis of the current state of the law.
The 2010 Cumulative Supplement outlines:
- Updated analysis of the development and scope of Medicare preemption of state common law causes of action
- New discussions of breach of nondelegable duties, bad faith claims, and vicarious liability theories
- Expanded coverage of balance billing and provider reimbursement issues
- A new section on accountable care organizations
- New examination of current litigation trends pertaining to silent PPO's, physician tiering, and provider inclusion and exclusion from networks
- Recent developments regarding post-claims rescission of policies
- New discussions on mental health parity laws and claims against managed behavioral health care organizations
- A revised comprehensive appendix listing recent managed care class actions
- Latest happenings in ADR and decisions regarding arbitration provisions and class actions
- Review of important recent ERISA decisions pertaining to de novo review, discretionary clauses, mandated benefits, and preemption
In addition, Managed Care Litigation contains practical and insightful guidance on how to navigate through common disputes. Special features include a table of cases; a unique class-action litigation list, with settlements; and appendices that cover external state review laws and procedures and managed care liability statutes, with citations.
David M. Humiston became Editor-in-Chief of Managed Care Litigation in 2008. Mr. Humiston was selected as one of 12 "Outstanding Healthcare Litigators" in the nation for 2007 by Nightingale's Healthcare News. David M. Humiston is a partner with Sedgewick, Detert, Moran & Arnold, and chairs the firm's Healthcare Practice Group, where he represents health plans and managed care organizations in liability matters.
Section publications provide a balanced forum for the views and professional development of practitioners in health law.
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