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Jordan: Another Michigan Spine Case 10/18/2017
By: Jennifer Jordan
State: MI | Segment: Top | 312 | 0
An opinion out of the U.S. District Court for the Eastern District of Michigan reported on Oct. 13 shows that the Michigan Spine and Brain Institute is at it again. ...Read More
 
 

Jordan: CIGA Entitled to Judicial Declaration of Unlawful CMS Interpretation of MSP 05/11/2017
By: Jennifer Jordan
State: NA | Segment: Top | 1019 | 0 | Popular with Insurance
On May 3, the U.S. District Court for the Central District of California issued its order with regard to CIGA’s entitlement to relief following the court’s award of partial summary judgment in January. ...Read More
 
 

Jordan: Evidence of Medicare Advantage Organization Not Acting in Medicare's Best Interests 05/08/2017
Source: Jennifer Jordan
State: NA | Segment: Top | 601 | 0
For the past year or so, we have watched courts treat Medicare Advantage Organizations (MAOs) as if they were on equal footing as the federal government acting in the best interest of the Medicare Trust Funds.  ...Read More
 
 

Jacobsmeyer: 3rd District Rules Apportionment to Genetic Factors Permissible 04/28/2017
By: Jake Jacobsmeyer
State: CA | Segment: Top | 1485 | 0 | Popular with Legal
The Court of Appeals in the 3rd District has issued a blockbuster opinion on apportionment in City of Jackson v WCAB (Rice) regarding the requirements for substantial medical evidence in worker&rsq...Read More
 
 

Jacobsmeyer: 3rd District Upholds Validity of IMR Process 03/30/2017
By: Jake Jacobsmeyer
State: CA | Segment: Top | 674 | 0
The 3rd District Court of Appeals has issue its decision in Ramirez v. WCAB, again upholding the constitutionality of the IMR process for review of UR determinations and providing, perhaps, some a...Read More
 
 
Jacobsmeyer: Late IMR Is Valid IMR 06/27/2016
State: CA | Segment: Top | 520 | 0
The 2nd Appellate District has issued the first of what should prove to be several appellate decisions on the timeliness of independent medical review decisions and the assertion by a Workers' Compensation Appeals Board panel decision that IMR timelines were mandatory, and late...Read More
 
 

Jordan: MSP Not So 'Extraordinary' to Completely Pre-empt State Law 05/10/2016
State: NA | Segment: Top | 351 | 0 | Popular with Array | 2 min read
A great MSP case is reported out of Pennsylvania on May 3, involving what the MSP does not do, in particular, pre-empt state law under any circumstances. ...Read More
 
 
Jacobsmeyer: Appellate Court Dumps Lien Filing Fee Challenge 03/31/2016
State: CA | Segment: Top | 622 | 0 | Popular with Legal
The 2nd District Court of Appeal has handed down a decision affirming the California Legislature’s creation of the lien filing fee as part of SB 863.  In Chorn v. WCAB,  a physician, Dr. Robin Chorn, filed a complaint joined by two injured workers in an effort to...Read More
 
 
January Case Law Update 01/12/2016
State: CA | Segment: Top | 972 | 0 | Popular with Legal
JURISDICTION AND SUBROGATION In Stinnett v. Los Angeles Dodgers, New York Mets, 2015 Cal. Wrk. Comp. P.D. LEXIS 644, the WCAB held that, pursuant to New York Knickerbockers v. WCAB (Macklin) (2015) 80 CCC 1141, California had a significant and legitimate interest over a baseball player...Read More
 
 
July 2015 Case Law Update 07/15/2015
Source: Michael W. Sullivan, Michael Sullivan & Associates LLP
State: NA | Segment: Top | 597 | 0 | Popular with Legal
JURISDICTION AND SUBROGATION In Walker v. Tampa Bay Buccaneers, 2015 Cal. Wrk. Comp. P.D. LEXIS 240, the WCAB affirmed a professional football player's award of 70% PD and declined to enforce a forum selection clause. THE BUSINESS OF INSURANCE In Kimco Staffing Service...Read More
 
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