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INDEX
Vol. 14, Nos. 1-19, pp. 1-512
Jan. 2 - May 7, 2008

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
      – Hospitals, medical errors
      – Medication errors
      – Prescription drugs, WellPoint developing post-FDA approval monitoring system, 449
    SCREENING
    SECONDARY PAYER PROGRAM
      – Qui tam suits, individual who does not receive benefits lacks standing sue (6th Cir.), 270
      – Reporting, CMS to issue 2009 coverage coordination guidance, 113
    SELF-FUNDED PLANS
      – BCBS HMO hospital rates, plan did not act as fiduciary when negotiating (E.D. Mich., recon den), 39
      – Medically necessary services, contractual duty satisfied by medical reviews despite contradictory results (Ind. App. Ct.), 157
    SEXUAL ORIENTATION DISCRIMINATION
      – Employee benefits, community college violated state law by denying same-sex marriage partner health coverage (N.Y. App. Div.), 216
    SKILLED NURSING FACILITIES (SNFs)
      – Jurisdiction, proposed class action over glucose test claim denial based on invalid local coverage determination dismissed (D.D.C.), 214
    SMALL BUSINESSES
      – Health insurance
        – – Pennsylvania
          – – – Premium subsidies, house bill passed, 402
          – – – Standard plan, house passes bill, 402
        – – Purchasing pools
        – – Tenn. expands program eligibility, 121
        – – Wash. premium subsidies bill passed, 234; amended bill sent to governor, 324; new law, 372
      – Mental health parity, coverage requirement
        See LEGISLATION, FEDERAL, S 558
    SMOKING
      – Wrongful discharge, ERISA claim over firing for violating no-smoking policy proceeds (D. Mass.), 158
    SNFs
    SOLVENCY
      – MA, cutting rates would extend Part A Trust Fund life, hearing, 393
    SOUTH CAROLINA
      – Hospitals, uninsured patients not entitled to discounts for insured (S.C.), 329
      – Small businesses, new health insurance purchasing pool law, 235
    SOUTH DAKOTA
      – Health insurance filings, new standard document law, 264
    SPECIAL REPORTS
      – LSCs, numbers grow to meet consumer demands, 218
      – Medical data privacy, state laws surpass federal protection, 185
      – Mental health parity compromise
        See LEGISLATION, FEDERAL, HR 1424, S 558
      – Onsite wellness centers, employers seek to cut health care costs, 360
      – Outlook 2008, top health insurer and provider issues discussed, 71
      – San Francisco fair share ordinance requiring employer-paid health coverage, implementation implications discussed, 102
      – 2008 presidential candidates, health care reform proposals, 44
    SPECIALISTS
      – Pathologists
        – – Clinical services, damages award for practice upheld where BCBS HMO withheld payments from hospital-based practice (Fla. Dist. Ct.), 478
        – – Reimbursement, class action against United Healthcare certified (Am. Arbitration Ass'n), 380
      – Surgeon profiles, Ill. Web site allows consumer comparisons, 427
    SPECIALTY HOSPITALS
      – Antitrust, managed care contract interference suit against acute care hospitals and PPOs settled (D. Kan.), 355
    STANDING
      – Anti-assignment provisions, provider cannot recover dialysis treatment costs under ERISA (M.D.N.C.), 332
      – HMOs, employer cannot sue over participant's self-pay request where insurers denied coverage as not medically necessary (E.D. Pa.), 504
      – Hospitals, individual who does not receive benefit cannot bring qui tam suit under Medicare Secondary Payer Act (6th Cir.), 270
      – Long-term care pharmacies, groups seeking Part D payment information cannot sue HHS (D.D.C.), 98
      – Out-of-network care, benefits assignee provider may not sue plan to recover treatment costs (W.D. Mich.), 212
    STATE AND LOCAL GOVERNMENT
      See also HEALTH CARE REFORM, STATE; specific states
      – Cost of health care, sustained fiscal challenges examined, GAO report, 114
      – Electronic health records, state teams describe progress regarding security and privacy concerns, report, 207
      – Health care provider tax, final CMS rule cuts rate states can impose for managed care, 229
      – Medical data privacy, state laws surpass federal protection, Special Reports, 185
      – Prescription drug bills pending, reports, In Brief, 177
    STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP)
      See also specific states
      – Limiting enrollment, Rockefeller (D-WVa) says CMS lacked authority, hearing, 418
    SUBPOENAS
      – N.Y. insurers, systematic provider underpayment based on faulty methodology, attorney general says, 215; subpoenas issued, 294
    SUBROGATION
      – Agreement, Wal-Mart can require signature before paying benefits (E.D. Ark.), 156
      – Make whole doctrine application, ERISA no bar to La. insurance commissioner directive (5th Cir.), 330
      – Third-party settlement proceeds
        – – Plan entitled to lien on accident victim member's award (E.D. Wis.), 100
        – – Special needs trust, employer-sponsored plan can seek medical expenses from conservator mother (11th Cir.), 98
    SUBSTANCE ABUSE
      – Drug addiction, BCBS properly denied coverage for medically unnecessary residential treatment for emotional problems (D. Mass.), 42
    SUPREME COURT, U.S.
      – ADEA, retiree and Medicare benefits may be coordinated (rev den), 354
      – Dependent son not enrolled, self-funded plan administrator did not abuse discretion by denying heart defects treatment coverage (rev den), 247
      – Employee benefits, make-whole doctrine no bar to Wal-Mart health plan's recovery of full reimbursement from participant's personal injury settlement (rev den), 352
      – San Francisco fair share ordinance requiring employer-paid health coverage, ERISA preempts (N.D. Cal.), 21; injunction barring ordinance implementation stayed (9th Cir.), 66; implementation implications discussed, Special Reports, 102; en banc review will not be sought, 126; employer group asks Justice Kennedy to vacate stay (application filed), 211; (denied), 243
    SURGICAL SERVICES
      – ASCs, anti-assignment provision no bar to out-of-network provider's ERISA claims (D.N.J.), 302
      – Experimental knee procedure, BCBS of Tenn. coverage denial upheld (6th Cir.), In Brief, 70
      – Gastric bypass, coverage denial upheld for medically unnecessary excess skin removal (S.D. Ohio), 377
    SURVEYS
      Ed. Note: For information on publications, reports, studies, and surveys, see specific subject headings.

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