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About the Book
Get expert insiders' guidance on how to address the issues that arise in managed care disputes.
In the constantly evolving managed care industry, it is difficult to keep pace with the legal issues facing industry players, and health lawyers are busier than ever as clients contend with increasing, and often conflicting, regulations. Now there is a practical, authoritative reference written specifically for practitioners like you who handle managed care disputes to help you rapidly focus on key issues and expertly advise your clients--Managed Care Litigation.
Managed Care Litigation gives you a view of how this complex area of litigation really works--who the key players are, what the issues are, and how practitioners should address managed care disputes. Whether you are a seasoned practitioner who requires updated research, a new practitioner who needs a starting point, a skilled litigator who needs more detailed knowledge of health care policy, or a health care lawyer looking for a litigator's perspective, having Managed Care Litigation in your library is like having your own team of subject-matter experts on hand to point you in the right direction and guide you through the managed care litigation process.
Get in depth analysis, a basic overview, and a detailed examination in one definitive resource.
Managed Care Litigation 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 of managed care litigation and a comprehensive examination of the legal issues facing managed care practitioners, Managed Care Litigation 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, and
class action lawsuits.
This quick, issue-driven reference for the busy practitioner is organized so that both in-house and outside managed care counsel and executives can immediately access the information they need, review the legal theories and the processes involved, and get up to speed on the case law. An excellent springboard to drafting pleadings or advisory memoranda, Managed Care Litigation provides operational information, the regulatory platform, and a detailed analysis of the current state of the law. In addition, it contains practical, user-friendly guidance on how to navigate through common disputes. Special features include a table of cases; a unique class-action litigation list, with settlements; and appendices that cover external state review laws and procedures and managed care liability statutes, with citations.
Whether handling common managed care disputes or complex class action cases, no other resource gives practitioners such specific, practice-oriented guidance for litigating within the managed care industry.
