Personal Attendant Who Cared For Elderly Person Was Exempt From Overtime by Proskauer - California Employment Law on 5/21/2012 Joy Cash, who is not a licensed or trained nurse, cared for Iola Winn, who is in her 90's, in Winn's home. After she left her employment, Cash sued Winn for failure to pay her overtime wages. Winn claimed that Cash was a...more
The ERISA Litigation Newsletter - May 2012 by Proskauer Rose LLP on 5/17/2012 In This Issue: - Editor’s Overview ...1 - Health Care Reform Remains Alive and Well as DOL Enforces ACA through Plan Audits ...2 - Class Warfare — ERISA Class Litigation in Light of Wal-Mart v....more
Seventh Circuit Holds Pharmaceutical Sales Reps Administratively Exempt – Broadly Interprets Discretion And Independent Judgment by Proskauer - Class & Collective Actions on 5/16/2012 Applying a broad interpretation to the Administrative exemption under the Fair Labor Standards Act (“FLSA”), 29 U.S.C. § 213(a)(1), the United States Court of Appeals for the Seventh Circuit held, Tuesday, that pharmaceutical...more
May 2012: Appellate Litigation Update: Supreme Court to Review Patient Protection and Affordable Care Act by Quinn Emanuel Urquhart & Sullivan, LLP on 5/15/2012 Supreme Court to Review Patient Protection and Affordable Care Act: In one of the most important and closely watched cases in recent memory, the Supreme Court this Term will decide the constitutionality of the Patient...more
First Circuit’s Oral Argument in Rost Revisits Prior Case Law Expanding False Claims Act Liability by Ropes & Gray LLP on 5/14/2012 On May 8, 2012, the United States Court of Appeals for the First Circuit heard oral arguments in United States ex rel. Rost v. Pfizer, Inc. (10-2215). The central issues in the case are whether compliance with the federal...more
Upcoming Indiana Case Will Rule on Hospital Billing of Uninsured Patients by King & Spalding on 5/10/2012 On May 10, the Indiana Supreme Court will hear oral arguments in the case of Abby Allen, et al. v. Clarian Health Partners, Inc., in which the plaintiffs allege that the defendant hospital system’s billing of uninsured...more
Payment Matters: CMS's Non-Hospital Training Rules Again Upheld by Ober|Kaler on 5/9/2012 In the recently decided case University Med. Ctr., Inc. v. Sebelius [PDF], the U.S. District Court for the District of Columbia upheld CMS policies regarding nonhospital training agreements as those policies were applied in...more
Insurance Antitrust Legal News - May 2012 • Volume 1, Number 1 by Dickinson Wright on 5/3/2012 In this issue: - McCarran Repeal Legislation Passes in the House In late March, legislation that would repeal the health insurance industry’s antitrust exemption, contained in the McCarran Ferguson Act (15 USC...more
HHS Files Petition to Supreme Court on Equitable Tolling Issue in Medicare Reimbursement Cases by King & Spalding on 4/25/2012 On April 13, 2012, Health and Human Services Secretary Kathleen Sebelius filed a petition for writ of certiorari with the U.S. Supreme Court requesting that the Court overturn the D.C. Circuit’s ruling that equitable tolling...more
Fourth Circuit Discusses Stark Issues in Remand of Tuomey $45 Million Stark Verdict by Snell & Wilmer L.L.P. on 4/24/2012 On March 30, 2012, a three-judge panel for the United States Court of Appeals for the Fourth Circuit unanimously agreed to vacate a $44.9 million judgment against Tuomey Healthcare System, Inc. for Stark law violations,...more
Payment Matters: Court Upholds "Must-Bill" Policy for Dual-Eligible Bad Debts, Remands on Prior Lack of Enforcement by Ober|Kaler on 4/24/2012 On March 26, 2012, the U.S. District Court for the District of Columbia upheld the application of the Department of Health and Human Services’ (HHS) “must-bill” policy to two long term care providers attempting to collect...more
Receive a Grand Jury Subpoena? What’s a health care provider to do? by Dinsmore & Shohl LLP on 4/24/2012 Health care providers are required to obey a properly issued grand jury subpoena seeking medical records or other confidential patient information, right? After all, it’s a subpoena. The answer may not be as straightforward...more
Fourth Circuit Vacates Stark Damages Award; Provides Interpretation of Key Stark Law Provisions by McDermott Will & Emery on 4/20/2012 On March 30, 2012, the U.S. Court of Appeals for the Fourth Circuit published its long-awaited decision in the case of United States ex rel. Drakeford v. Tuomey Healthcare Sys., No. 10-1819 (4th Cir. 2012). The Fourth...more
Case Study in Nevada: The Allegedly Unsafe Medical Provider and ERISA Preemption by Sedgwick LLP on 4/18/2012 In Cervantes v. Health Plan of Nevada, 263 P.3d 261 (Nov. 2011), the plaintiff commenced an action against a managed care organization (MCO) alleging it violated Nevada's quality assurance laws and regulations when MCO...more
California Anti-SLAPP Statute Protection Applies to Hospital's Termination of Physician Staff Contract by Sedgwick LLP on 4/18/2012 California Code of Civil Procedure section 425.16 – known as the anti-SLAPP (Strategic Lawsuit Against Public Participation) statute – provides a procedural mechanism to test, before costly discovery and pre-trial...more