A U.S. District Court followed the trend of permitting a Medicare Advantage Organization (“MAO”) to sue pursuant to the Medicare...

On March 16, 2018, the United States District Court for the Southern District of Texas denied defendant’s Motion to dismiss in Humana,...

A U.S. District Court for the Southern District of Florida recently held that a Medicare Advantage Organization (MAO) may bring an action...

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...

In September 2016, we informed you of an Eleventh Circuit decision in which the Circuit Court found that a contractual obligation alone...

A number of federal district courts have followed the ruling of the Third Circuit in In re Avandia Sales Practices, and Products...

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...

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,...

We continue to see courts acknowledging the rights of Medicare Advantage Organizations (MAOs) to pursue an action for recovery of...

In Honey v. Bayhealth Medical Center, Inc., 2015 Del. Super. LEXIS 378, a Superior Court in Delaware recently bolstered the importance...