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Dameron Hospital Association v. AAA Northern California, Nevada, and Utah Insurance Exchange
Emergency room operator may not collect difference between customary charges and negotiated rates from third party tortfeasors under contract with patients’ insurer. 		Health Care Sep. 4, 2014
Coons v. Lew
Doctor may not challenge Patient Protection and Affordable Care Act’s establishment of Independent Payment Advisory Board based on allegations of possible future injury. 		Health Care Sep. 2, 2014
Dameron Hospital Association v. AAA Northern California
Emergency room operator may not collect difference between customary charges and negotiated rates from third party tortfeasors under contract with patients’ insurer. 		Health Care Aug. 25, 2014
Pacific Shores Hospital v. United Behavioral Health
Health care plan improperly denies employee, who suffered from severe anorexia and was suicidal, more than three weeks of residential treatment coverage. 		Health Care Aug. 20, 2014
Coons v. Lew
Doctor may not challenge Patient Protection and Affordable Care Act’s establishment of Independent Payment Advisory Board based on allegations of possible future injury. 		Health Care Aug. 7, 2014
Orthopedic Specialists of Southern California v. California Public Employees' Retirement System
Out-of-network medical provider is not entitled customary and usual rate for nonemergency medical services where insurer paid only small portion of amount charged. 		Health Care Jul. 31, 2014
Dameron Hospital Association v. AAA Northern California
Emergency room operator may not collect difference between customary charges and negotiated rates from third party tortfeasors under contract with patients’ insurer. 		Health Care Jul. 29, 2014
State of California v. Superior Court (Bristol-Myers Squibb Co.)
Drug company only needs to make claims that are ‘in some manner deceitful’ to trigger possible civil penalties for bribing physicians to prescribe its drugs. 		Health Care Jul. 27, 2014
Gonzalez v. Planned Parenthood of Los Angeles
Planned Parenthood does not knowingly and falsely overbill Medi-Cal for contraceptives supplied to low-income individuals when charging ‘usual and customary rates.’ 		Health Care Jul. 22, 2014
Sutter Health v. Superior Court (Atkins)
Patients may not sue health care provider following theft of computer containing their medical records when no unauthorized person actually viewed records. 		Health Care Jul. 21, 2014
County of Colusa v. Douglas
State of California, rather than counties, must pay for ancillary outpatient services for Medi-Cal beneficiaries with mental diseases who are not covered by federal law. 		Health Care Jul. 20, 2014
County of Colusa v. Douglas
State of California, rather than counties, must pay for ancillary outpatient services for Medi-Cal beneficiaries with mental diseases who are not covered by federal law. 		Health Care Jul. 13, 2014
County of Colusa v. Douglas
State of California, rather than counties, must pay for ancillary outpatient services for Medi-Cal beneficiaries with mental diseases who are not covered by federal law. 		Health Care Jul. 9, 2014
Rea v. Blue Shield of California
Health care service plans must provide residential care treatment to patients who suffer from anorexia nervosa and bulimia nervosa under California Mental Health Parity Act. 		Health Care Jul. 9, 2014
The Arc of California v. Douglas
California may not be able to enforce statutes that reduce state compensation of home and community based services for developmentally disabled persons. 		Health Care Jun. 30, 2014
State of California v. Superior Court (Bristol-Myers Squibb Co.)
Drug company only needs to make claims that are ‘in some manner deceitful’ to trigger possible civil penalties for bribing physicians to prescribe its drugs. 		Health Care Jun. 29, 2014
Rea v. Blue Shield of California
Health care service plans must provide residential care treatment to patients who suffer from anorexia nervosa and bulimia nervosa under California Mental Health Parity Act. 		Health Care Jun. 11, 2014
Children's Hospital Central California v. Blue Cross of California
Trial court incorrectly narrows its calculation of the reasonable and customary value of emergency services rendered by hospital to Blue Cross during off-contract period. 		Health Care Jun. 11, 2014
Lewis v. Superior Court (Medical Board of California)
Medical Board of California does not violate patients’ privacy rights by accessing their electronic prescription records to investigate physician’s unprofessional conduct. 		Health Care May 30, 2014
Eisenhower Medical Center v. Superior Court (Malanche)
Hospital is not liable for disclosing patient’s personal information due to computer theft because patient’s confidential medical information was not disclosed. 		Health Care May 22, 2014
Garcia v. PacifiCare of California Inc.
Insurance company may exclude myoelectronic prosthetics from health insurance plan because it was only required to offer, not cover, devices. 		Health Care May 9, 2014
Consumer Watchdog v. Dept. of Managed Health Care
Consumer group cannot pursue claims regarding treatment coverage of Applied Behavior Analysis for autism, because new law already addressed its concerns. 		Health Care Apr. 24, 2014
Medical Board of California v. Chiarottino
Medical Board of California does not violate patients’ rights by accessing records of their doctor’s prescribing history to investigate possible substance abuse. 		Health Care Apr. 16, 2014
PAMC Ltd. v. Sebelius
Medicare provider must receive two percent reduction to annual payment increase because it failed to submit quality of care data when it was due. 		Health Care Apr. 9, 2014
Centinela Freeman Emergency Medical Associates v. Health Net of California Inc.
Physicians may pursue reimbursement claims against HMOs, who delegated their responsibility to reimburse those physicians to third parties they knew were insolvent. 		Health Care Apr. 3, 2014
Korab v. Fink
Hawai’i may lower state medical benefits for its aliens under Compact of Free Association below amount received prior to Congress’ withdrawal of federal benefits. 		Health Care Apr. 2, 2014
Keffeler v. Partnership Healthplan of California
Pharmacists within California’s managed care network may not require state to consider their costs in setting Medicaid reimbursement rates. 		Health Care Mar. 4, 2014
Centinela Freeman Emergency Medical Associates v. Health Net of California Inc.
Physicians may pursue reimbursement claims against HMO’s, who delegated their responsibility to reimburse those physicians to third parties they knew were insolvent. 		Health Care Feb. 20, 2014
Whitney v. Montegut
Plastic surgeon must turn over patient records based on another physician’s conclusions that his prescription practices suggested drug abuse. 		Health Care Jan. 22, 2014
Whitney v. Montegut
Plastic surgeon must turn over patient records based on another physician’s conclusions that his prescription practices suggested drug abuse. 		Health Care Jan. 7, 2014
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