In Humana v. Paris Blank, LLP et al 2016 U.S. Dist. LEXIS 61814, Paris Blank, LLP, a plaintiff law firm, was sued by Humana Medicare Advantage for failing to reimburse Humana for conditional payments. This is the first time an MSP Private Cause of Action has been...
Amanda Saylor from our office posted the following… On the December 16, 2014 case Collins v. Wellcare Healthcare Plans, Inc. a Louisiana District Court provided additional jurisprudential support for the 3rd circuit’s 2012 In re Avandia decision allowing for a...
The 3rd Circuit recently decided that private insurers offering Medicare Advantage coverage were permitted to utilize the federal statute [Medicare Secondary Payer Act, 42 U.S.C. 1395y (b) (2)] to pursue a federal cause of action for subrogation. This outrageous...
FROM: The Rawlings Company, LLC DATE: July 2012 RE: Rights of Recovery for Medicare Advantage Organizations The purpose of this document is to communicate the position of The Rawlings Company, LLC, after consultation with legal...
