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September 18, 2024 | Law.com

Allstate Sues String of Pharmacies Over Alleged Insurance Fraud

"As part of the scheme to defraud alleged herein, the pharmacy defendants entered into illegal kickback arrangements with no-fault clinics in the New York metropolitan area and unlicensed laypersons who work at or are associated with the no-fault clinics pursuant to which the no-fault clinics prescribed expensive, pre-formulated topical pain creams, gels, lotions and ointments dispensed and billed at exorbitant prices by [the pharmacies]," the complaint said.
3 minute read
September 05, 2024 | New York Law Journal

Attorney of the Year Finalist: Michael Canty of Labaton Keller Sucharow

A former Assistant U.S. Attorney known for his knack of "eyeballing fraud" when he sees it, Labaton Keller Sucharow partner Michael Canty brings…
3 minute read
August 19, 2024 | The American Lawyer

Deal Watch: Deals Abound, Debt Offerings Soar and Private Equity Firms Start Exercising

Deal work continues its up and to the right trajectory, while work constructing and litigating liability management exercises grows.
11 minute read
August 15, 2024 | New York Law Journal

No-Fault Insurance Law Wrap-Up: Recent Decisions Concerning Arbitration Awards

"In this edition of the No-Fault Wrap-Up, we discuss several recent court decisions concerning no-fault arbitration awards," write David M. Barshay and Steven J. Neuwirth.
12 minute read
August 01, 2024 | Daily Business Review

Jacksonville Jury Awards $1.1 Million to Navy Family

"Mr. and Mrs. Page met and fell in love with each other while serving our country in the Navy, and now their quality of life has been dramatically eroded through no fault of their own," said Nick Concilla, a partner at Morgan & Morgan.
4 minute read
July 26, 2024 | New York Law Journal

Don't Allow Insurers to Weaken the Standard Applicable to the 'Expected or Intended' Coverage Defense

"In determining whether an organization's potential liability for an employee's sexual misconduct is covered, the relevant question is whether the harm was expected or intended from the organization's standpoint," write Joshua L. Blosveren and Bradley J. Nash.
11 minute read
May 31, 2024 | New Jersey Law Journal

Allstate Qui Tam Action Can Proceed Against Clinical Laboratory Over 'Growing and Disturbing Trend' of Unnecessary Urine Drug Testing

"Allstate submits that, in recent years, the opioid abuse crisis has fueled urine drug testing (UDT) for pain management and prescription compliance, ripening opportunities for fraud, waste, and abuse," U.S. Chief District Judge Renée Marie Bumb wrote. "It links Phoenix Toxicology to a growing and disturbing trend of unnecessary UDT."
5 minute read
May 23, 2024 | Daily Business Review

Fla. High Court Clears Path for Insurance Companies to Utilize Payment Methodologies Enumerated in PIP Statute

The "billed amount" issue deals with both policy language and Section 627.736(5)(a)(5) of the PIP statute. In plain language, the issue can be summarized as whether an insurer is eligible to reimburse a bill at 80% of the amount billed when that amount is less than 200% of the Medicare fee schedule rate for the corresponding year for which the service was rendered.
8 minute read
May 07, 2024 | New Jersey Law Journal

Third Circuit Overlooks Jurisdictional Problem in New Jersey Insurance Fraud Claims Decision

"The Third Circuit clearly had appellate jurisdiction to decide the first two issues, but it did not have jurisdiction under the FAA to decide the third issue," writes David N. Cinotti of Pashman Stein Walder Hayden.
10 minute read
May 01, 2024 | Daily Report Online

Judicial Restraint Could Make or Break This Ga. Appellant's Argument for Venue-Anchoring

"I don't know that we really should care about policy," said Presiding Judge Stephen Dillard. "It's only what the statute says, and you may be right on that, you may not be right on that, but that's what I'm not getting."
5 minute read

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