Main Volume Information

In the constantly evolving managed care industry, it is difficult to keep pace with the legal issues facing market players, and health lawyers are busier than ever as clients contend with increasing, and often conflicting, regulations. Finally, there is a practical, authoritative reference written specifically for practitioners who handle managed care disputes to help them rapidly focus on key issues and expertly advise their clients—Managed Care Litigation. This is the only treatise on the market that offers in-depth analysis of all the important issues in managed care litigation. Providing both a basic overview and a comprehensive examination of the legal issues facing managed care practitioners, this book gives you practical guidance on:

• Common managed-care disputes
• The main features of a typical ERISA lawsuit and ERISA preemption strategies
• Utilization review and coverage disputes
• Prompt pay statutes
• Health plan liability laws, post-Davila
• State insurance administrative processes
• Contractual disputes between payors and providers
• Managed behavioral health care litigation issues
• Litigating disputes arising under Medicare, Medicaid, and other federal health programs
• Antitrust laws and the defenses managed care entities and providers can use
• Class action lawsuits

This timely reference is organized so that both in-house and outside managed care counsel and executives can quickly access the information they need, review the legal theories and process involved, and get up to speed on the case law. It is an excellent springboard to drafting pleadings or advisory memoranda.

Supplement Information  

The 2012 Cumulative Supplement provides a comprehensive update on the latest developments in Medicare preemption, mental health parity laws, bad-faith litigation, and medical director licensure and liability. It includes discussion of:  

• Findings by district courts in RICO cases that individual issues of reliance predominate and preclude class certification under Rule 23(b)(3) despite the Supreme Court’s holding in Bridge v. Phoenix Bond & Indemnity Co.
• The Supreme Court’s review of the law governing class certification in Wal-Mart Stores, Inc. v. Dukes
• Circuit court decisions construing the seminal Dukes decision
• Recent Supreme Court and circuit court cases addressing the enforceability of class action waivers in arbitration agreements

Main Volume Information

2005/835 pp. Hardcover/Order #9076P

Supplement Information

2012/ISBN 9781617460760/Order #2076

Main Volume Information

About the Editor-in-Chief
Julie A. Barnes is the director of health policy at the Bipartisan Policy Center (BPC). With years of experience as a health care attorney, policy analyst and Capitol Hill staffer, Barnes is a frequent writer and speaker on the American health care system.

ABA Health Law Section

Supplement Information

About the Editor-in-Chief

David M. Humiston is a partner with Sedgwick LLP, Los Angeles, CA, and is chairman of the firm's Healthcare Practice Group.

ABA Health Law Section

Main Volume Information

• Summary Table of Contents
• Detailed Table of Contents
• Preface

 Supplement Information

• Summary Table of Contents
• Detailed Table of Contents
• Preface
• Board of Editors

Order 2012 Cumulative Supplement now.