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Health Insurance 

Health Insurance
Chapter:
Health Insurance
Author(s):

Bryan C. Shelby

, Merrill Rotter

, and Elizabeth Ford

DOI:
10.1093/med/9780199344659.003.0018
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date: 11 December 2019

Chapter 18 includes cases that are probably the most challenging for clinicians to understand. These cases all involve health insurance plans, specifically what is covered, what kind of damages can be recovered in malpractice claims, and establishing the scope of permissible litigation for plans administered through the Employment Retirement Income Security Act (ERISA) of 1974. The cases included in this chapter are Aetna v. McCabe, Mazza v. Medical Mutual Insurance Company, Wickline v. State, Wilson v. Blue Cross of Southern California, Corcoran v. United Healthcare, Blue Cross/Blue Shield v. Travelers, Dukes v. U.S. Healthcare, and Aetna v. Davila.

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