all - Opinion Summaries

DESERT HEALTHCARE DIST. v. PACIFICARE, FHP, INC.

Health Law
The statutory nonwaiver clause under Health and Safety Code section Section 1371 of the Knox-Keene Act does not preclude a health insurer from...

WALGREEN CO. v. HOOD

Health Law
Medicaid providers are not intended beneficiaries under the "efficiency, economy, and quality of care" provisions of section 30(A) of Medicaid, 42 USC...

MIKES v. STRAUS

Government Contracts, Health Law
Under 31 USC 3729(a) of the False Claims Act, a claim is legally false only where a party certifies compliance with a statute or regulation as a...

SID PETERSON MEM'L HOSP. v. THOMPSON

Health Law
Section 413.153 and 413.17 of the Medicare Regulations, which define related-parties and control, for purposes of hospital reimbursement of interest...

CATANZANO v. WING

Health Law
Expiration of fiscal assessment law that allowed reduction of home health service reimbursements under Medicare makes a challenge to the law moot.

CALIFORNIA MED. ASS'N, INC.,

Health Law
The statutory nonwaiver clause under Health and Safety Code section 1371 does not preclude a health insurer from delegating its duty to pay physicians...

MORRIS v. HARPER

Civil Procedure, Health Law
Failure of California Youth Authority director to license correctional treatment centers, under Health & Saf. Code 1250 (j)(1), 1253, after five...

TOZZI v. US DEP'T OF HEALTH & HUMAN SERVS.

Health Law
Upgrading a chemical from a "reasonably anticipated" carcinogen to a "known" carcinogen based on mechanistic rather than epidemiological evidence is...

IN HOME HEALTH, INC. v. SHALALA

Health Law
Failure of health provider to exhaust administrative remedies under 42 CFR 413.106(g) not excused by claim that reimbursement guidelines were...

MAXIMUM HOME HEALTH CARE, INC. v. SHALALA

Health Law
Under 42 USC 1395x(v)(1)(A) of the Medicare Act, the prudent buyer concept does not include competitive bidding as a component for determining whether...