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INDEX
Vol. 15, Nos. 1- 25, pp. 1-756
Jan. 7 - June 24, 2009

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

    SAFETY OF PATIENTS
      – Celebrex and Bextra, global class action settlement approved (N.D. Cal.), 380
      – Information technology, increased use improves outcomes and saves money, study, 133
    SCHIP
    SCREENING
    SECURITIES
      – Aetna underpricing to gain market share, class action alleging misrepresentation dismissed (E.D. Pa.), 742
    SELF-REFERRALS
      – Hospital sues over Scripps Health practices (Cal. Super Ct.), 712
    SEX DISCRIMINATION
      – Cal. bills passed barring gender-based discrimination in individual insurance policies, 592
      – Suit filed to end higher premiums for women (Cal. Super. Ct.), 129
    SEXUAL ORIENTATION DISCRIMINATION
    SKILLED NURSING FACILITIES (SNFs)
      – Part A payments, most improper, IG report, 674
    SMALL BUSINESSES
      – Electronic health records, Highmark funding for some primary care practices, 571
      – Health insurance
        – – Benefit cuts planned by many firms, studies, 748
        – – COBRA, N.Y. eligibility extended under economic stimulus package, 349
        – – Median market share, largest small group carriers increased in 2008, GAO study, 391
        – – R.I., bill passed limiting premium increases, 745
        – – Taxation
          – – – Cooperatives with tax credits
            See LEGISLATION, FEDERAL, HR 850
          – – – Incentives for state reform
            See LEGISLATION, FEDERAL, S 979
        – – Tenn. insurance coverage limit raised, 162
    SMOKING
      – N.C. health plan, smokers and overweight workers will pay more, 534
    SNFs
    SOUTH DAKOTA
      – High-risk pools, children with preexisting conditions eligible for coverage under new law, 680
    SPECIAL REPORTS
      – COBRA subsidies, American Recovery and Reinvestment Act provisions raise questions for employers and insurers, 270
      – Hospital pay-for-performance programs, provider negotiations and shared responsibility essential, 539
      – LSCs, services expand as state regulatory efforts wane, 468
      – Medical tourism industry, possible risks and legal issues discussed, 354
      – Outlook 2009, top health insurer and provider issues discussed, 18
      – San Francisco fair share ordinance requiring employer-paid health coverage, employers adopting to pay-or-play rules, 629
    SPECIALISTS
      – Cardiologist, multiple-count fraud conviction for improper billing of private insurers and federal programs (W.D. La.), 71
    STANDING
      – Derivative, provider receiving assignment of benefits from ERISA participant entitled to copies of plan documents (E.D. La.), 99
      – Emergency services, physicians' challenge to contracts barred (Tex. Ct. App.), 162
      – Hospitals, sanctions imposed on individual who did not receive Medicare Secondary Payer Act benefits and therefore could not bring qui tam suit (U.S., rev sought), 70
      – Misrepresentation, spouse cannot sue insurer over terms of policy covering late wife (Cal. Ct. App.), 500
    STATE AND LOCAL GOVERNMENT
      – BCBS, legislative efforts will shift from coverage expansion to SCHIP, report, 220
      – Employee benefits, 75 percent considering changes, survey, 723
      – High-risk pools
      – Public sector employers favor disease management and wellness programs over consumer-directed plans, report, 108
      – Telemedicine, federal funding approved for 6 regional networks, 507
    STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP)
      – BCBS, legislative health reform efforts will shift from coverage expansion to children, report, 220
      – Improved access and affordability data needed, GAO reports, 336
      – Reauthorization
        – – Bill
          See LEGISLATION, FEDERAL, HR 2
        – – State Children's Health Insurance Program (SCHIP) of 2009, expansion as signed into law amends ERISA to promote coordination with employer plans, 147
    STATUTES OF LIMITATIONS
      – No-fault automobile insurer bound by 2-year period in ERISA plan contract (E.D. Mich.), 158
    SUBROGATION
      – Make whole doctrine, plan's reimbursement rights to medical expenses paid for participant limited (D. Or.), 344
      – Third-party settlement proceeds, ERISA no bar to insurer suit to state law recovery of amount paid for insured's medical care (W.D. Ky.), 263
    SUPREME COURT, U.S.
      – Hospitals, sanctions imposed where individual did not receive Medicare Secondary Payer Act benefits and therefore lacked qui tam suit standing (rev sought), 70
      – Nominee Sotomayor, Second Circuit ERISA decisions scrutinized, 646
      – Prescription data mining, First Circuit ruling upholding N.H. ban on sale of physicians' information upheld (rev sought), 412
      – San Francisco fair share ordinance requiring employer-paid health coverage, no ERISA preemption (9th Cir., en banc rev sought), 39; restaurant group seeks stay from Justice Kennedy as Circuit Justice (application filed), 342; (stay denied), 375; (rev sought), 704
    SURGICAL SERVICES
      – Children's health care, new Wis. law requires hearing aid and cochlear implant coverage, 653
      – Fraud, guilty plea entered by recruiter of healthy patients for unnecessary procedures (Cal. Super. Ct.), 264
      – Full and fair review, BCBS did not afford where new grounds were raised for denying benefits for bypass patient (5th Cir.), 379
      – Medical errors, 3 CMS national coverage decisions deny Medicare payment for some mistakes, 98
      – Obese patients
      – Out-of-network care, denial proper where Medicare beneficiary did not prove medical necessity or superiority of procedure plan covered (9th Cir.), 261
      – Transplants
      – Wrongful discharge, some claims proceed against employer who fired worker after surgery to prevent future benefits use but ERISA claims over promotion denial barred (E.D. Pa.), 623

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