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Kime v. Dignity Health, Inc.
Because hospital owner's decision to deny doctor staff privileges was based on an administrative decision, doctor was not entitled to hearing. 		Health Care 1DCA/2 Apr. 29, 2024
Dougherty v. U.S. Behavioral Health Plan
Because company providing behavioral health services was not a health care service plan, it need not meet Health and Safety Code Section 1363.1's disclosure requirements to enforce arbitration. 		Arbitration, Health Care 4DCA/2 Apr. 25, 2024
Ryan S. v. UnitedHealth Group, Inc.
Healthcare beneficiary adequately claimed Parity Act violation by alleging disparate handling of mental health versus medical claims and providing supporting documentation. 		Health Care 9th Apr. 12, 2024
Asiryan v. Medical Staff of Glendale Adventist Medical Center
Code of Regulations peer review statute superseded medical doctor's common law right to fair procedure claim. 		Health Care 2DCA/1 Mar. 21, 2024
Gardena Hospital, L.P. v. Baass
Hospital must include bed hold days in their total patient days when calculating Medi-Cal patients for state reimbursement because accounting manual directly addressing bed holds was dispositive. 		Health Care 2DCA/8 Feb. 13, 2024
Long Beach Memorial Medical Center v. Allstate Insurance Co.
Delivery of two-party check that was never cashed was not a payment that satisfied properly notified insurer's duty to pay hospital lien from settlement proceeds before paying the injured party. 		Health Care 2DCA/7 Sep. 20, 2023
Saloojas Inc. v. Aetna Health of California Inc.
Section 3202(a)(2) of the CARES Act does not create a private right of action for providers to sue insurers. 		Health Care 9th Sep. 8, 2023
Rhonda S. v. Kaiser Foundation Health Plan
Neither the Lanterman-Petris Short Act nor a health plan required Kaiser to evaluate and treat conservatee merely upon delivery to Kaiser facility. 		Health Care 2DCA/8 Aug. 22, 2023
Moran v. Prime Healthcare Management, Inc.
Trial court properly struck emergency room patient's claim that hospital's failure to post or notify of a fee connected with emergency services was unfair and deceptive where the hospital complied with statutory fee notice requirements. 		Health Care 4DCA/3 Aug. 9, 2023
Raidoo v. Moylan
Abortion law requiring women in Guam to attend in-person informational meeting before receiving an abortion survived rational basis review. 		Health Care 9th Aug. 2, 2023
Vilches v. Leao
Defendant therapist was not required to grant plaintiff parent access to his daughter's patient records because the therapist determined that granting access would have a detrimental effect on the patient. 		Health Care 1DCA/4 Aug. 1, 2023
Family Health Centers of San Diego v. State Dept. of Health Care Services
Outreach activities are not categorically nonreimbursable under the Public Health Service Act 		Health Care CASC Jul. 25, 2023
Quishenberry v. UnitedHealthcare, Inc.
Claims based on common law and state-law duties duplicative of standards established under Part C of the Medicare Act were preempted by Part C's sweeping preemption provision. 		Health Care CASC Jul. 14, 2023
County of Santa Clara v. Superior Court (Doctors Medical Center of Modesto, Inc.)
Government Claims Act did not immunize Santa Clara County from reimbursing hospitals who provided emergency services to patients enrolled in the County's health plan. 		Health Care CASC Jul. 11, 2023
Dubin v. U.S.
Fraudulent Medicaid claim did not automatically equate to "aggravated identity theft." 		Health Care USSC Jun. 9, 2023
Modification: Futterman v. Kaiser Foundation Health Plan, Inc.
In class action suit against Kaiser for its deficient mental health services, Kaiser members provided sufficient triable issues of fact to survive summary judgment. 		Health Care 1DCA/4 Jun. 8, 2023
Friedenberg v. Lane County
Defendants met the qualifications for immunity as "deemed" public health service employees. 		Health Care 9th May 22, 2023
Futterman v. Kaiser Foundation Health Plan, Inc.
In class action suit against Kaiser for its deficient mental health services, Kaiser members provided sufficient triable issues of fact to survive summary judgment. 		Health Care 1DCA/4 May 19, 2023
Lopez v. American Medical Response West
Plaintiffs' first letter to defendant detailing ambulance accident, and providing a settlement demand amount, provided sufficient details that it served as an intent to sue notification under the Medical Injury Compensation Reform Act. 		Health Care 1DCA/5 Mar. 16, 2023
Washington State Health Care Authority v. Centers for Medicare & Medicaid Services
The state of Washington's plan to amend its statutes to allow Medicaid payment for dental health aide therapists did not violate Medicaid's free choice provision. 		Health Care 9th Jan. 13, 2023
Wisner v. Dignity Health
Evidence was insufficient for a jury to conclude that medical board's National Practitioner Data Bank report was false because evidence established that the reported physician was under investigation at time of resignation. 		Health Care 3DCA Nov. 7, 2022
Vigil v. Muir Medical Group IPA
In a medical data breach case, denying class certification was appropriate where each putative class member's right to recover depended on proving that their medical information was actually viewed. 		Health Care 1DCA/2 Oct. 19, 2022
Daniel C. v. White Memorial Medical Center
When determining California Department of Health Care Services' lien award on Medi-Cal beneficiary's wrongful life settlement, trial court erred by failing to distinguish between past medical expenses and other damages. 		Health Care 2DCA/3 Sep. 30, 2022
Arizona Alliance for Community Health Centers v. Arizona Health Care Cost Containment System
Categorical exclusion of adult chiropractic services from Arizona's state Medicaid program was a violation of the Medicaid Act. 		Health Care 9th Sep. 6, 2022
U.S. ex rel. Hartpence v. Kinetic Concepts
The compliance certification process for Medicare reimbursement of wound therapy pump devices was material under the False Claims Act because it was necessary for payment of a claim. 		Health Care 9th Aug. 10, 2022
Silverado Hospice v. Becerra
Centers for Medicare and Medicaid Services reasonably instituted a sequestration method that was consistent with the text of both the Budget Control Act and the Medicare statute. 		Health Care 9th Aug. 2, 2022
Saini v. Sutter Health
Hospital was not required to further notify a prospective emergency room patient of an emergency medical services fee when it provided signage in the emergency room that its fees are available online. 		Health Care 1DCA/4 Jul. 12, 2022
Magallanes de Valle v. Doctors Medical Center of Modesto
In a medical malpractice suit, hospital was not liable for the alleged negligence of a physician because patient reasonably should have known that physician was not the hospital's agent. 		Health Care 5DCA Jul. 7, 2022
Allied Anesthesia Medical Group v. Inland Empire Health Plan
Health care providers who provided services to Medi-Cal enrollees were not the intended third-party beneficiaries in contract between the health care service plan and the California Department of Health Care Services. 		Health Care 4DCA/2 Jul. 5, 2022
Becerra v. Empire Health Foundation, For Valley Hospital Medical Center
In calculating the Medicare fraction used to adjust rates paid to hospitals with higher percentages of low-income patients, "entitled to benefits" means those qualifying for the program. 		Health Care USSC Jun. 27, 2022
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