District Court Affirms Medicare Advantage Organization’s Right to Sue Primary Plans Pursuant to the
A U.S. District Court followed the trend of permitting a Medicare Advantage Organization (“MAO”) to sue pursuant to the Medicare...
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Melisa Zwilling
- Apr 6, 2018
Fifth Circuit District Court Allows MAO Action Seeking Reimbursement from Tort Settlement Fund to Go
On March 16, 2018, the United States District Court for the Southern District of Texas denied defendant’s Motion to dismiss in Humana,...
Melisa Zwilling
- Mar 29, 2018
11th Circuit District Court: MAO Action Against Treatment Provider Under PCOA Provision of MSP May P
A U.S. District Court for the Southern District of Florida recently held that a Medicare Advantage Organization (MAO) may bring an action...
Melisa Zwilling
- Mar 31, 2017
U.S. District Court Again Relies on Eleventh Circuit Decisions And Allows Medicare Advantage Organiz
In the recent case, Mspa v. Century Sur. Co., No. 16-20752, 2017 U.S. Dist. LEXIS 37040 (U.S. Dist. S.D. Fla., March 15, 2017), the...
Melisa Zwilling
- Mar 27, 2017
U.S. District Court Looks To Eleventh Circuit Decision In Deciding Medicare Advantage Organization’s
In September 2016, we informed you of an Eleventh Circuit decision in which the Circuit Court found that a contractual obligation alone...
Melisa Zwilling
- Aug 30, 2016
ALERT: Eleventh Circuit Holds That Medicare Advantage Organization Entitled to Double Damages Under
A number of federal district courts have followed the ruling of the Third Circuit in In re Avandia Sales Practices, and Products...
Melisa Zwilling
- May 18, 2016
Fourth Circuit Federal District Court: Medicare Advantage Organization Has Private Cause of Action U
In Humana Ins. Co. v. Paris Blank LLP, No. 3:16CV79-HEH, 2016 U.S. Dist. Ct. LEXIS 61814 (E.D. Va., May 10, 2016), Humana Insurance...
Melisa Zwilling
- Oct 12, 2015
Sixth Circuit Holds MAO Has Private Cause of Action Under the MSPA
In Cariten Health Plan, Inc. v. Mid-Century Ins. Co., No. 3:14-CV-476-TAV-CCS, 2015 U.S. Dist. Ct. LEXIS 126887 (E.D. Tenn., September 1,...
Melisa Zwilling
- Oct 12, 2015
US District Court: Requires More Than Contractual Obligation to Establish Primary Payer Responsibili
We continue to see courts acknowledging the rights of Medicare Advantage Organizations (MAOs) to pursue an action for recovery of...
Melisa Zwilling
- Aug 6, 2015
Delaware Superior Court: MAOs Importance in the Medicare System
In Honey v. Bayhealth Medical Center, Inc., 2015 Del. Super. LEXIS 378, a Superior Court in Delaware recently bolstered the importance...
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