Behavioral Health Issue Brief Series No. 14
Medicaid & SCHIP; Legal; Managed Care; Managed Care Contracting
This analysis provides an overview of recent legal developments in managed care case law. Three types of cases are reviewed: claims brought by managed care enrollees against managed care companies and health plans; cases related either directly or indirectly to managed care and brought by both beneficiaries and managed care organizations against state Medicaid agencies and other public agencies engaged in the purchase of managed care; and cases brought by individual health professionals against managed care organizations.
Rosenbaum, Sara J.; Mauery, D. Richard; and Teitelbaum, Joel B., "An Overview of Legal Developments in Managed Care Caselaw and Selected Case Studies of Legal Developments in State Contracting for Managed Behavioral Health Services" (2001). Health Policy and Management Issue Briefs. Paper 13.