RICO Claims Arbitrable
Client Alert | less than 1 min read | 04.08.03
A unanimous U.S. Supreme Court ruled on April 7, 2003 that racketeering claims against UnitedHealth Group Inc. and PacifiCare Health Systems Inc. can be submitted to arbitration. The Court ruled that concerns about the availability of punitive damages in arbitration did not prevent enforcement of the arbitration provisions of the plaintiffs' contracts with the health plans. The slip opinion is available at: http://supct.law.cornell.edu/supct/pdf/02-215P.ZO
Insights
Client Alert | 2 min read | 03.27.26
CMS Releases PY 2020 RADV Audit Methods and Instructions: Key Takeaways for Health Plans
On March 20, 2026, the Centers for Medicare and Medicaid Services (CMS) released new guidance outlining the agency’s audit methods and instructions for Medicare Advantage (MA) plans subject to upcoming risk adjustment data validation (RADV) audits for payment year (PY) 2020. In addition to providing necessary context for MA plans selected for auditing, this resource clarifies CMS’s methodological and procedural expectations. While the high-level takeaways are recapped below for convenience, we strongly recommend that MA organizations selected for PY 2020 audits closely review the guidance to understand what may be involved — or required — during the agency’s review.
Client Alert | 4 min read | 03.25.26
NAIC Intensifies AI Regulatory Focus: What Health Insurance Payors Need to Know
Client Alert | 11 min read | 03.25.26
White House National AI Policy Framework Calls for Preempting State Laws, Protecting Children
Client Alert | 3 min read | 03.24.26
California Considering A Massive Expansion of Its Antitrust Laws
