On this week’s episode, Carla DewBerry and Sarah Carlins discuss a recent California Federal District Court decision in David Wit v. United Behavioral Health, in which the court found that the defendant insurer violated ERISA...more
12/11/2020
/ Denial of Insurance Coverage ,
Employee Retirement Income Security Act (ERISA) ,
Fiduciary Duty ,
Health Claims ,
Health Insurance ,
Health Plan Sponsors ,
Insurance Claims ,
Insurance Industry ,
Insurance Litigation ,
Mental Health ,
Plan Administrators ,
Scope of Coverage ,
Standard of Care ,
Substance Abuse
In this week’s episode, Carla DewBerry and Kelsey Jernigan discuss issues in mental health parity in the context of recent California legislation. In particular, the presenters discuss how a new California bill has sparked a...more
9/29/2020
/ Affordable Care Act ,
Denial of Insurance Coverage ,
Essential Health Benefits ,
Health Care Providers ,
Health Insurance ,
Healthcare Reform ,
Medical Necessity ,
Mental Health ,
Mental Health Parity Rule ,
Pending Legislation ,
Substance Abuse
In this week’s episode, Limo Cherian, Carla Dewberry and Steven Pine discuss recent changes to value-based health care payment arrangements triggered by the current COVID-19 emergency. In particular, the presenters discuss...more
Department of Labor Issues Final Rule that Expands Association Health Plans -
On June 21, 2018, the Employee Benefits Security Administration, Department of Labor (“DOL”) issued a final rule that establishes additional...more