As The US Healthcare System Consolidates Into Corporate Silos, Doctors Unionize
The link is here US Doctors Unionizing
United Health Is Using AI to Deny Insurance Claims
Insurance carriers have already begun using artificial intelligence to deny health insurance claims. A new lawsuit in Minnesota identifies United Health as using algorithms to deny the health insurance claims of elderly and disabled insureds, When claims are denied, necessary treatment is delayed – increasing the likelihood of serious injuries and death. The lawsuit, filed […]
A major victory for Maya’s family, their lawyers, and patients everywhere. I cannot overstate how impressive this work is under difficult circumstances.
A Florida jury tacked on $50 million in punitive damages to a roughly $211 million award to the family of Maya Kowalski, the child at the center of the Netflix documentary “Take Care of Maya,” against Johns Hopkins All Children’s Hospital for mistreating Maya to the point that her mother took her own life. Read […]
When A Settlement Isn’t Final?
Holding the carrier liable post-settlement for continuing care and expenses under Medicare rules is an uncommon and aggressive approach. In most cases, settlements result in a release that relieves the paying party from any ongoing financial responsibility. This argument – to hold the carrier for that at-fault responsible for expenses going forward – bears watching, […]
Quality Fraud in Medicine is a Real Thing
And I keep track of it here on my blog. Just punch in #QualityFraud in the search bar on The Daily Blog on my website. A hospice medical director was sentenced to four years in prison and ordered to pay $18 million for his role in submitting more than $150 million in bogus Medicare claims […]
Sackler Immunity and the Purdue Pharma Settlement
SCOTUS court watchers were a little shocked that the Court blocked the Purdue Pharma / Sackler settlement – even if temporarily – and there is a lot of buzz about how they will answer this question: whether the Bankruptcy Code authorizes a court to approve, as part of a plan of reorganization under Chapter 11 […]
Missouri Hospital Keeps Trial Win In Shaken Baby Case
Duty to warn cases are important but the proof can be tricky. At issue on appeal is a jury instruction stating that jurors were to find in favor of the hospital if they determined that Lane’s then-boyfriend, Ben Andrews, had abused Hollis. Read more at: https://www.law360.com/personal-injury-medical-malpractice/articles/1688549?nl_pk=029cff45-637f-44e3-babf-75563f8e0bfd&utm_source=newsletter&utm_medium=email&utm_campaign=personal-injury-medical-malpractice&utm_content=2023-06-14&nlsidx=0&nlaidx=4?copied=1
Service of Process Problems Are Real: But I Know Where Shaq Was Last Night.
From Law360 Shaquille O’Neal won four championship rings during his legendary basketball career, and now he’s chasing a legal accomplishment that’s just as elusive: successfully avoiding service long enough to have a civil suit against him dismissed. For months, O’Neal has dodged attempt after attempt by process servers to formally notify him about a proposed […]
The ‘Win At Any Cost’ Mentality of Insurance Defense
Over one hundred thousand dollars in sanctions upheld against an insurance defense lawyer for deliberately poisoning a trial to benefit his client. And it worked – at least for his client, if not for him. I am not surprised in the least. Plaintiffs: Choose your lawyer carefully, and this won’t happen. Hurt was representing the […]
Quality Fraud and Patient Safety
Doctors who prescribe to people they’ve never met and care they never give. These claims go back to a Civil War era law designed to prevent the Government from being overcharged for military supplies. Now, the DOJ brings in billions of dollars every year for healthcare fraud. Here’s the link Physicians facing prison, fines, for […]