Brian Stimson presented this Internet Tutorial Program sponsored by the Payor, Plans and Managed Care Practice Group of the American Health Lawyers Association. The following topics were covered in the presentation.
- Arbitration versus Litigation
- Pros and cons
- Enforcement of arbitration clauses
- Members' Theories of Liability
- Denials of covered services
- Vicarious malpractice
- Post-claims rescission of coverage
- Medicaid Act and ADA
- Participating Provider Litigation
- Break of contract
- Tort and statutory theories
- Non-Participating Provider Litigation
- Providers' theories
- Payors' theories
- Silent PPOs
- Governmental Immunity