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Publication Archive: Insurance Claims

Matt Lavin Quoted on US Supreme Court ERISA Ruling

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Source: Law360
The U.S. Supreme Court’s recent holding that Arkansas can regulate the middlemen that control employee health plans’ prescriptions without treading on ERISA’s territory opens the door for states to take more aggressive action to reduce health care costs, experts say. “What the Rutledge decision is going to mean is that because those state statutes regulate costs…Read the article

Law360 Quotes Partner Matt Lavin on “No Surprises Act”

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Source: Law360
The No Surprises Act , which was signed into law Dec. 27 after being tucked into the year-end spending bill, protects patients from getting slapped with surprise bills after visits to the emergency room or their regular medical providers, leaving any payment disputes up to their plan and provider to resolve. Napoli Shkolnik PLLC’s Matt…Read the article

Law360 Quotes Matt Lavin on Proposed UBH Class Action Suit

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Source: Law360
A California federal judge has refused to toss a proposed class action accusing United Behavioral Health of leaving patients on the hook for surprise medical bills, ruling that the patients detailed how UBH allegedly underpaid for services it should have covered under their health plan. “We look forward to seeking certification of a nationwide class…Read the article

ER Doctors File Lawsuit: Alleging Underpayments

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Source: Beckers Hospital Review
Becker’s Hospital Review quotes lead attorney Matt Lavin on the federal lawsuit that alleges UnitedHealth Group and MultiPlan conspired to underpay out-of-network ER providers. DownloadRead the article

Law360 Quotes Partner Matt Lavin on Viant Lawsuit

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Source: Law360
The lawsuits center on claims that CBH and United Behavioral Health worked with fellow defendant Viant to short payments for claims related to substance use and mental health treatment. A group of patients brought two of the suits, while a group of behavioral health providers launched the other two. “The day of reckoning for them…Read the article

Viant, Cigna Want Out of Behavioral Healthcare Class Action

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Source: Law360
The lawsuits center on claims that CBH and United Behavioral Health worked with fellow defendant Viant to short payments for claims related to substance use and mental health treatment. A group of patients brought two of the suits, while a group of behavioral health providers launched the other two.  Read the article

Bloomberg Law: Matt Lavin on Delaying Mental Health Suits

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Source: Bloomberg
“I’ve had a lot of insurance companies trying to put the brakes indefinitely on cases using the ubiquitous ‘Covid’ excuse,” said Matt Lavin, a partner at Napoli Shkolnik PLLC who almost exclusively represents behavioral health patients and providers. In every single case he has pending, without exception, Lavin said insurance company lawyers have used the…Read the article

MedCity News Quotes Matt Lavin on Insurance Class Actions

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Source: MedCity News
United Behavioral Health and Cigna Behavioral Health face potential class action lawsuits over allegations that they underpaid for out-of-network behavioral health claims. The two companies allegedly used a third-party pricing company called Viant to pay a fraction of what providers were owed. “Regulators have so far ignored complaints from patients and providers alike, so our…Read the article

Health Payer Specialist: United, Cigna, Viant Fraud?

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Source: Health Payer Specialist
Plaintiff’s attorney Matt Lavin, of Napoli Shkolnik law firm in New York City, is seeking triple damages for what he says are plaintiffs’ losses amounting to tens of millions of dollars in both unpaid claims and wrongful payments. “All the centers we represent are smaller providers, these are not celebrity beachfront places in Malibu, these…Read the article

Becker’s Hospital Review On United, Cigna, Viant Lawsuits

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Source: Beckers Hospital Review
The behavioral health units of UnitedHealthcare and Cigna face four class-action lawsuits claiming the insurers conspired with a third-party company to underpay providers and balance bill patients hundreds of millions of dollars. The lawsuits, filed by law firm Napoli Shkolnik April 5, accuse United Behavioral Health and Cigna Behavioral Health of using Viant as a…Read the article