HOSPITAL: TRICARE beneficiary not entitled to “windfall” between what hospital accepted from auto med-pay insurer and reimbursement rate per PPA… motion for judgment on [Read more…]
FELA, injury claim, termination evidence
FELA: Evidence of termination and PLB report affirming it inadmissible hearsay, irrelevant to whether RR negligently caused conductor’s claimed injuries… defense verdict reversed, remanded for retrial… untimely/ purportedly dishonest injury report relevant to RR’s contention of [Read more…]
Hospital/insurance, TRICARE reimbursement rate
HOSPITAL/INSURANCE: Supervisory control denied as to Judge Neill’s summary judgment that hospital breached [Read more…]
State healthcare plan, TPAs, made-whole, class
STATE HEALTHCARE PLAN: TPAs not subject to made-whole laws under subrogation statutes or 3rd-party beneficiary [Read more…]
Defense verdict, FELA, conductor, “helper” engine
VERDICT: Defense, FELA, conductor, “helper” engine maneuver, cervical spine. [Read more…]
Class certification, “made whole,” 3rd-party admins
CLASS CERTIFICATION: Appeal of Sherlock’s denial of certification on grounds that individual adjudication required as to whether settlement with MVA tortfeasor “made whole” [Read more…]