Lawsuit claimed McKesson violated racketeering laws, costing consumers and third-party payers
In exchange, the third-party payer
has no influence over the recovery process other than the opportunity to make a claim (or object) at the end of the claims procedure.
Garrison Bliss on recreating the traditional doctor-patient relationship that third-party payers
A totally unproductive artificial situation has been purposefully created by third-party payers
as a scheme to delay, reduce, or avoid payment altogether.
are increasingly establishing policies that seek to contain the rising costs of health care.
Most courts have rejected these types of health-care cost-recovery claims, holding that plaintiffs lack standing to sue because claims by third-party payers
are too remote from any alleged injuries," Donahue said.
The third-party payer
is dictating to physicians what they can and can't do, and who they can and can't treat.
An overwhelming majority of federal courts have rejected health care recovery cases and other third-party payer
suits before trial purely on legal grounds - principally because the plaintiffs, who are not injured themselves, cannot as a matter of law receive payment for alleged injuries to others," he said.
This third-party payer
program complements the Bowling worldwide class settlement, which provides valve recipients payments for certain costs -- not already covered by benefits or insurance -- associated with approved surgery to replace C-C valves.
As a result, any third-party payer
can be held liable, regardless of whether or not the physician objects to the patient's discharge.
Going forward, third-party payer
decisions on whether PET scans are covered for various cancers, and at what level, will be determined based on NOPR data.
Schnucks is a long-time user of Per-Se's Intelligent Network for prescription claims processing to third-party payers
1986), which had provided substantial protection for third-party payers
against liability for utilization review decisions.
The profitability of individual companies depends on medical reimbursement rates from third-party payers
like Medicare and other insurers.
have rationalized this extra layer of analysis by pointing to the less stringent FDA approval process for devices compared to drugs.