James M. Burns

James M. Burns

Dickinson Wright

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Insurance Antitrust Legal News - November 2014 - Volume 3 - Number 6

Plaintiff Files Third Amended Antitrust Claim Against Highmark - A long running antitrust dispute in Western Pennsylvania continued on October 1, when a Pennsylvania hotel (Cole’s Wexford Hotel) filed a third amended...more

11/20/2014 - Antitrust Litigation AstraZeneca Class Action FTC v Actavis Generic Drugs Health Insurance Highmark Hospital Mergers Hotels Mergers Patents Pharmaceutical Patents Prescription Drugs Software

Health Insurer Antitrust Claim Against Drug Company Remanded to State Court

Over the last several years, several health insurers have brought antitrust claims against drug companies, contending that they were overcharged for drugs as a result of agreements reached by the drug companies in the...more

11/18/2014 - Antitrust Litigation AstraZeneca FTC v Actavis Generic Drugs Health Insurance Patent Infringement Patents Pharmaceutical Manufacturers Popular

Connecticut Law Imposes New Merger Regulations on Physician Combinations

On October 1, a first-of-its-kind law became effective in Connecticut that requires group medical practices and hospitals in that state to provide the Attorney General with 30 days’ notice prior to consummating any merger or...more

10/22/2014 - Attorney Generals Hart-Scott-Rodino Act Hospital Mergers Hospitals Notice Requirements

European Antitrust “Block Exemption” For Insurance Under Review

In the United States, the McCarran Ferguson Act (15 USC 1011-1015), enacted by Congress in 1945, provides the insurance industry with a limited exemption from the federal antitrust laws. The Act applies to all conduct that...more

9/12/2014 - Antitrust Litigation Antitrust Provisions EU Insurers McCarran-Ferguson Act

Insurance Antitrust Legal News: Volume 3, Number 5

European Antitrust "Block Exemption" for Insurance Under Review: In the United States, the McCarran Ferguson Act (15 USC 1011-1015), enacted by Congress in 1945, provides the insurance industry with a limited exemption...more

9/3/2014 - Antitrust Litigation Antitrust Provisions EU FTC McCarran-Ferguson Act

Auto Repair Shop Antitrust Actions May Be Consolidated into Multidistrict Litigation

Over the course of the last several months, auto body repair shops in five states (Florida, Mississippi, Indiana, Utah and Tennessee) filed antitrust actions against a collection of auto insurers, alleging that the insurers’...more

7/11/2014 - Antitrust Litigation Auto Insurance Auto Repair Regulations Automotive Industry Multidistrict Litigation

Healthcare Legal News - July 2014 • Volume 4, Number 2

In This Issue: - DO SUBSIDIZED HEALTH CARE PLANS PURCHASED UNDER THE AFFORDABLE CARE ACT TRIGGER THE ANTI-KICKBACK STATUTE? The advent of federally subsidized private pay health insurance under the Affordable...more

7/7/2014 - Affordable Care Act Anti-Kickback Statute CMS Healthcare Healthcare Reform Medicaid Medicare Popular TRICARE

Insurance Antitrust Legal News - July 2014 • Volume 3, Number 4

In This Issue: - COURT DENIES BLUES’ MOTION TO DISMISS IN RE BLUE CROSS BLUE SHIELD ANTITRUST LITIGATION (MDL 2406): On June 18, United States District Court Judge David Proctor (Northern District of Alabama)...more

7/3/2014 - Antitrust Litigation Auto Insurance Auto Repair Regulations Automotive Industry Blue Cross Blue Shield Complex Litigation Corporate Criminal Fines DOJ License Agreements Rabobank Trademarks

Tennessee Insurance Legal News - May 2014 • Volume 3, Number 2

In This Issue: - COMMISSIONER OF TENNESSEE DEPARTMENT OF COMMERCE AND INSURANCE ISSUES POSITION ON FILING REQUIREMENTS OF NEW ENTERPRISE RISK FILING LEGISLATION: On May 28, 2014, Governor Haslam signed...more

5/14/2014 - Assignments Commercial General Liability Policies Cyber Insurance Cybersecurity Filing Requirements Healthcare Risk Assessment

Indiana Auto Repair Shops Bring Antitrust Action Against Auto Insurers

An Indiana trade association of auto repair shops, together with a group of its members, have filed an antitrust action against over twenty five auto insurers in Indiana, alleging that the insurers’ direct repair programs...more

5/8/2014 - Anticompetitive Agreements Antitrust Litigation Auto Insurance

Legislation Permitting Healthcare Providers to Negotiate Jointly with Health Insurers Introduced in Congress

Legislation was recently introduced by Representative John Conyers (D-Michigan) that would permit healthcare providers to negotiate jointly with health insurers concerning contract terms without running afoul of the antitrust...more

5/2/2014 - Health Insurance Healthcare Healthcare Reform Proposed Legislation

Insurance Antitrust Legal News - May 2014 • Volume 3, Number 3

In This Issue: - LEGISLATION PERMITTING HEALTHCARE PROVIDERS TO NEGOTIATE JOINTLY WITH HEALTH INSURERS INTRODUCED IN CONGRESS: Legislation was recently introduced by Representative John Conyers (D. Michigan)...more

5/1/2014 - Antitrust Litigation Class Action Health Insurance Healthcare Settlement

FTC Commissioner Criticizes Proposed Legislation That Would Permit Health Providers to Negotiate Jointly with Health Insurers

In a February 26 speech before the Connecticut Bar Association, Federal Trade Commissioner Maureen Olhausen expressed strong opposition to proposed legislation that would create an antitrust exemption for collective...more

3/28/2014 - Antitrust Provisions FTC Health Insurance Healthcare

Hearing Held on Pennsylvania’s Novel “Any Willing Insurer” Legislation

On December 18, 2013, the Pennsylvania House Health Committee held a hearing on Pennsylvania House Bills 1621 and 1622, two bills that would require that any health provider in the state that operates as part of an integrated...more

3/14/2014 - Anti-Competitive Health Insurance Healthcare

Insurance Antitrust Legal News - March 2014 • Volume 3, Number 2

In This Issue: - FTC COMMISSIONER CRITICIZES PROPOSED LEGISLATION THAT WOULD PERMIT HEALTH PROVIDERS TO NEGOTIATE JOINTLY WITH HEALTH INSURERS: In a February 26 speech before the Connecticut Bar Association,...more

3/6/2014 - Antitrust Litigation Blue Cross Casualty Insurance FTC Health Insurance Healthcare Mergers Property Insurance

Healthcare Legal News - February 2014 • Volume 4, Number 1

In This Issue: - CMS ISSUES FINAL RULE ON DIRECT ACCESS OF LAB TEST RESULTS BY PATIENTS: On February 3, 2014, the Centers for Medicare and Medicaid Services (CMS) released a final rule that permits patients or...more

2/27/2014 - CMS EHR Health Insurance Healthcare Healthcare Reform HIPAA Hospitals Out of Network Provider PHI

FTC Announces Higher Hart Scott Rodino Premerger Notification Reporting Thresholds

The Hart-Scott-Rodino Act, 15 U.S.C. 18a (the “HSR Act”), requires parties that are contemplating a merger or the acquisition of assets, voting securities and other non-corporate interests above certain dollar thresholds to...more

1/31/2014 - FTC Hart-Scott-Rodino Act Pre-Merger Filing Requirements The Clayton Act

Senate Passes an Antitrust “Whistleblower” Protection Bill

On November 4, 2013, the United States Senate passed S. 42, the “Criminal Antitrust Anti-Retaliation Act,” by unanimous consent. The legislation, introduced back in January of 2013 with bipartisan support (Senators Leahy (D)...more

1/16/2014 - Antitrust Litigation Antitrust Provisions Whistleblower Protection Policies Whistleblowers

Mississippi Governor Rescinds Executive Order Requiring Blue Cross of Mississippi to Grant “In Network” Status to Excluded...

In early November, Mississippi Governor Phil Bryant rescinded an Executive Order (Executive Order 1327), issued only weeks earlier, that would have compelled Blue Cross of Mississippi to continue to offer “in-network” status...more

1/10/2014 - Blue Cross Executive Orders Health Insurance Healthcare Hospitals Out of Network Provider

Insurance Antitrust Legal News - January 2014 • Volume 3, Number 1

In This Issue: - MISSISSIPPI GOVERNOR RESCINDS EXECUTIVE ORDER REQUIRING BLUE CROSS OF MISSISSIPPI TO GRANT “IN NETWORK” STATUS TO EXCLUDED HOSPITALS: In early November, Mississippi Governor Phil Bryant...more

1/7/2014 - Antitrust Investigations Antitrust Litigation Antitrust Provisions Insurers

Bill Seeking to Repeal the McCarran Ferguson Act’s Antitrust Exemption Introduced in Congress

On September 18, Congressman Phil Roe (R-Tennessee) introduced legislation (H.R. 3121) that would, among other things, amend Section 3 of the McCarran-Ferguson Act (15 U.S.C. 1013) to repeal the Act’s antitrust exemption for...more

11/22/2013 - Competition Exemptions Insurers McCarran-Ferguson Act Proposed Legislation

“Any Willing Insurer” Legislation Introduced in Pennsylvania

A significant number of states have “Any Willing Provider” statutes that require a health insurer to admit all requesting providers into the health insurer’s preferred provider network. While some of these statutes are...more

11/15/2013 - Health Insurance Health Insurance Exchanges Healthcare Hospitals

Insurance Antitrust Legal News - November 2013 • Volume 2, Number 6

In This Issue: - BILL SEEKING TO REPEAL THE MCCARRAN FERGUSON ACT’S ANTITRUST EXEMPTION INTRODUCED IN CONGRESS: On September 18, Congressman Phil Roe (R-Tennessee) introduced legislation (H.R.3121) that would,...more

11/7/2013 - Affordable Care Act Antitrust Litigation Exemptions Health Insurance Insurers McCarran-Ferguson Act

California Supreme Court Holds Insurers are Subject to Unfair Competition Claims in Zhang Case

On August 1, the California Supreme Court issued its highly-anticipated decision in Zhang v. Superior Court, holding that the California Unfair Insurance Practices Act (Ins. Code §790 et seq.) does not necessarily preempt an...more

9/10/2013 - Insurers Unfair Competition

Insurance Antitrust Legal News - September 2013 • Volume 2, Number 5

In This Issue: - CALIFORNIA SUPREME COURT HOLDS INSURERS ARE SUBJECT TO UNFAIR COMPETITION CLAIMS IN ZHANG CASE: On August 1, the California Supreme Court issued its highly-anticipated decision in Zhang v....more

9/5/2013 - Antitrust Litigation Blue Cross Blue Shield Insurers Liability Unfair Competition Unfair or Deceptive Trade Practices

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