News & Analysis as of

Kaiser Permanente

Uncompensated "Off-the-Clock" Work Time Nets Call Center Nurses a $6.2 Million Settlement

by Baker Ober Health Law on

Late last year, more than 1,300 "advice nurses" working at call-in centers providing answers to patient health care questions for Kaiser Permanente and Permanente Medical Group filed a class action lawsuit for unpaid wages...more

Payer/Provider Digital Health Investments Increase in Q1 2017

Last September, we noted that payers and providers were expected to become increasingly active digital health strategic investors given their challenges to improve margins and outcomes....more

New Class Action Lawsuits Asserting Violations of the MHPAEA

Banner Health and the Kaiser Foundation were recently hit with separate class action lawsuits challenging their denials of certain mental health care coverage...more

Manatt on Health Reform: Weekly Highlights - March 2017 #3

House Republicans append a Manager's Amendment to the AHCA; HHS tells states they will have increased flexibility on Medicaid; and Florida previews its 1115 waiver amendment requests....more

GOP campaigning to strip patients of key legal protections

We all know how con artists work the streets. One might bump into you in a train or in a crosswalk, while the other grabs your wallet. Or one might smile and chat with a mom at a playground, while her partner nabs the purse....more

Manatt on Health Reform: Weekly Highlights - February 2017 #4

The Kansas House sends approved Medicaid expansion legislation to the Senate; governors remain divided on Medicaid reform; and the Kaiser Family Foundation publishes a new library of 108 Medicaid expansion studies....more

Manatt on Health Reform: Weekly Highlights - February 2017 #3

Congress moves forward on key healthcare appointments; the Administration takes steps to shore up the Marketplaces; and Governors prepare to gather in Washington as new reports document the ACA's impacts on states....more

The 21st Century Cures Act on the Verge of Passage?

by Goodwin on

In June last year, we outlined the key exclusivity provisions in the 21st Century Cures Act. Then in July 2015, we reported that the House of Representatives passed a form of the Act by a vote of 344-77....more

Sustainable Development Update - November 2016 #3

by Allen Matkins on

Sustainable Development Focus - Kaiser Permanente buys 110 MW of solar - Solar Industry Magazine - Nov 10 - Taking another step toward achieving its goal of using 100% renewable energy by 2025, Kaiser...more

You Said It, Now We’re Going to Hold You to It! Hospitals Estopped From Asserting Disqualification Argument.

In theory, it is not an unfair labor practice to refuse to negotiate with a union engaged in competition with the employer—unless, of course, the employer gave the union other reasons for refusing to negotiate. The...more

Manatt on Health Reform: Weekly Highlights - October 2016 #3

HealthCare.gov consumers begin previewing 2017 coverage options as HHS projects a 9% enrollment increase over last year and an average 22% benchmark premium increase; Oregon study finds increased primary care spending in...more

Risk Adjustment Update: CMS and the states react to insurer exits

by Dentons on

The close of 2016 will mark the end of the third full year that the Affordable Care Act (ACA) has been fully implemented. Data is available for the first two "reporting years," 2014 and 2015, for which health insurers and...more

Renewable Energy Update - September 2016

by Allen Matkins on

Renewable Energy Focus - White House pledges support for Salton Sea, geothermal energy - The Desert Sun - Sep 1 - The federal government is stepping up its commitment to the Salton Sea and exploring the...more

Recent Relaxation of State-level Challenges to the Expansion of Telemedicine but Barriers Remain

The use of telemedicine has expanded access to care to patients in rural areas and provided a convenient alternative to battling congested physician offices and emergency department waiting rooms. In repeated studies the...more

Manatt on Health Reform: Weekly Highlights - July 2016 #3

Massachusetts’s Marketplace eliminates cost-sharing for addiction treatment in subsidized QHPs; Montana cuts its uninsurance rate in half; and a Kaiser report identifies the 50 most costly drugs for Medicaid....more

Docs in Jersey, Dixie rake in pay from Big Pharma, medical device makers

Big Pharma is not just whistling Dixie, as Southern, for-profit hospitals lead the nation in rolling out the welcome mat so doctors can take meals, consulting, and promotional payments from drug and medical device companies,...more

Epic Verdict in Trade Secrets Case

by BakerHostetler on

Last week, a federal jury in Wisconsin awarded almost $1 billion to Epic Systems Corporation in its trade secrets case against Indian consulting company Tata Consulting Services, Ltd., and its American unit, Tata America...more

Diagnostic Errors: Overlooked and Critically Important

People make mistakes in any line of work, and diagnosing a medical problem is no exception. But new research shows that diagnostic errors not only aren’t rare, they’re disturbingly common. Almost all U.S. residents will be...more

Healthcare Costs for the Average Family Have Risen Dramatically

by McGuireWoods LLP on

According to consulting and actuarial firm Milliman’s “2015 Milliman Medical Index,” which measures the cost of healthcare for a typical American family of four receiving coverage from an employer-sponsored preferred provider...more

Ninth Circuit Affirms Dismissal of ERISA Section 510 Claim

The Ninth Circuit affirmed the dismissal on summary judgment of Plaintiff Rosemarie Cole’s claim that her employer, Permanente Medical Group, interfered with her receipt of pension benefits in violation of ERISA § 510....more

Renewable Energy Update - February 2015 #3

by Allen Matkins on

Renewable Energy Focus: Citigroup sets $100 billion funding goal for green projects - Bloomberg - Feb 18: Citigroup Inc. plans to lend, invest, and facilitate deals worth $100 billion by 2025 to support projects that...more

Employee's Failure to Report Off the Clock Work Not a Total Defense Says 11th Circuit

by Franczek Radelet P.C. on

Last summer, we highlighted an example of how good recordkeeping practices can result in a favorable decision. In the Kaiser Foundation Health Plan case, the employer successfully defended an “unauthorized overtime” claim...more

NNU Ebola “Day of Action” Slated for November 12, 2014

by Proskauer - Labor Relations on

Registered nurses in 16 states and the District of Columbia are planning a national “Day of Action” by engaging in strikes, picketing, leafleting, rallies, and candlelight vigils on Wednesday, November 12, in support of...more

Kaiser Permanente to Pay $75,000 to Settle EEOC Disability Discrimination Suit

Worker With Hydrocephalus Was Denied a Free Job Coach to Assist With Training, Then Fired, Federal Agency Charged - SAN DIEGO, Calif. - Kaiser Permanente, the largest managed care organization in the United States,...more

Court Rejects Workers Comp Insurer’s Challenge to Big Pharma

by Pullman & Comley, LLC on

Pharmaceutical manufacturers that promote off-label uses for prescription drugs have become litigation targets for third-party payors—especially after Kaiser received a nine-figure RICO award last year against the...more

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