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UBH Wrongly Denied Care and Claims Based on Overly Restrictive Guidelines That Were Not Based on Accepted Standards of Care, Court Rules
The guidelines insurance companies use to evaluate coverage and claims for mental health care and substance use treatments have come under fresh, intense scrutiny…
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Murder Charges for Doctor Who Prescribed Opioids
A New York doctor was charged with second-degree murder this month for prescription practices that allegedly led to the opioid-related deaths of five patients.…
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Medical Records Reveal Elaborate Billing Fraud in Home Health Care, Resulting in $10M Settlement
Phony Records Were Used to Legitimize Overcharges and Other Fraudulent Billing to MassHealth for Years, Authorities Say Maestro-Connections Health Systems (Maestro) and its CEO,…
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Artificial Intelligence and Health Care: Who’s Liable When the Algorithm Fails?
Artificial intelligence (AI) and machine learning (ML) are poised for exponential growth in the health care industry. These technologies are being hailed for their…
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Debate Sparked by Proposed Call for Prejudgment Interest on All Personal Injury Awards in Illinois
Plaintiffs would be awarded 9 percent prejudgment interest on all successful personal injury and wrongful death claims if a bill signed by the Illinois…
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Negligence Case Tossed Based on Vicarious Liability Issues, Failure to Establish Proximate Cause
The Arkansas Court of Appeals upheld the dismissal of a medical negligence case alleging a man was permanently paralyzed because of health care providers’…
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NJ Court Clarifies Affidavit of Merit Rule in Med Mal Cases
New Jersey Court Clarifies Affidavit of Merit Rule in Medical Malpractice Cases Alleging Negligence by Unlicensed Employees The Superior Court of New Jersey Revived…
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Court Green Lights FELA Claims Against Norfolk Southern Railway & H&M, Shedding Light on Key Liability Issues
Ruling Clarifies Who Can Be Considered a “Common Carrier” & an “Employer” for FELA Claims A widow can now move forward with two claims…
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As Telehealth Expands, Medical Negligence Claims Will Grow and Evolve
The pandemic has catapulted telehealth into the mainstream. When stay-at-home orders took effect last spring, many patients and doctors turned to telehealth out of…
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