In Mitchell v. Blue Cross Blue Shield of N.D., 2020 U.S. App. LEXIS 8818 (8th Cir. Mar. 20, 2020), the Eighth Circuit upheld the payment of 150% of Medicare rates for an out-of-network air ambulance flight, although the...more
Seeking to control healthcare costs, many group health plans have adopted amendments that lower reimbursement rates for the treatment of end-stage renal disease ("ESRD"), which requires long-term dialysis treatment or a...more
2/10/2020
/ Amended Group Benefits ,
Appeals ,
Benefit Plan Reimbursements ,
Dialysis Providers ,
Disparate Impact ,
Employee Benefits ,
Employee Retirement Income Security Act (ERISA) ,
Employer Group Health Plans ,
ESRD ,
Federal Rule 12(b)(6) ,
Medical Reimbursement ,
Medicare ,
Medicare Secondary Payer Act ,
Motion to Dismiss ,
Non-Discrimination Rules ,
Out of Network Provider ,
Private Right of Action