
Lauren Clason
Health Benefits Reporter at Bloomberg Law
Covering health & workforce for Bloomberg @BLaw. #Hoosier. Off the record: No comment. E pluribus unum. DM for Signal. lclason(at)bloombergindustry(dot)com
Articles
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1 week ago |
news.bloomberglaw.com | Austin R. Ramsey |Lauren Clason
Former advisory council reports only recently publishedAdministration hasn’t scheduled any required meetings The future of a US Labor Department worker benefits advisory board hangs in the balance as the Trump administration fails to convene members who provide health and retirement policy recommendations to the agency.
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2 weeks ago |
news.bloomberglaw.com | Lauren Clason
Court ruled plan terms limited pay for employee’s conditionCase previously remanded to judge under new standardMetropolitan Life Insurance Co. adhered to the terms of its plan in severing disability benefits to a former Continental Automotive Inc. employee, the Fourth Circuit ruled. Tracy Penland quit working for the auto parts supplier in August 2015, citing complications from colon surgery after contracting an infection on a business trip to Mexico, in addition to a host of other conditions.
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2 weeks ago |
news.bloombergtax.com | Lauren Clason
Metropolitan Life Insurance Co. adhered to the terms of its plan in severing disability benefits to a former Continental Automotive Inc. employee, the Fourth Circuit ruled. Tracy Penland quit working for the auto parts supplier in August 2015, citing complications from colon surgery after contracting an infection on a business trip to Mexico, in addition to a host of other conditions.
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2 weeks ago |
news.bloomberglaw.com | Lauren Clason
Second 5th Circuit decision on whether parties can sue in courtCase will have ramifications on other surprise billing casesA trio of air ambulance providers lost an appeals court bid to overturn a decision in two surprise medical bill disputes, narrowing the legal path for physicians to challenge alleged malfeasance from health insurers in court.
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2 weeks ago |
news.bloomberglaw.com | Lauren Clason
Case questioned whether doctors can sue over unpaid billsDecision marks another win for insurers on the issueMedical providers do not have a right to sue insurance companies for not paying arbitration awards under a law shielding patients from surprise medical bills, a federal appeals court ruled. The decision from the US Court of Appeals for the Fifth Circuit marks another win for insurers on the issue, which has split the lower courts.
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New: A federal judge mostly dismissed an ex-J&J employee's lawsuit over high prescription drug costs in its employee health plan. https://t.co/8gYAhKcr9q

RT @landmanspeaking: I just got laid off from @voxdotcom along with 11 other talented and delightful people. I'm leaving with a deep bench…

The way courts treat ERISA -- the law that governs most health/disability benefits denials -- stacks the cards in favor of insurers. But that could be changing. Long COVID patients are the newest wave of litigants testing the limits. https://t.co/C9pd106oej