{"id":7900,"date":"2019-07-31T17:37:38","date_gmt":"2019-07-31T21:37:38","guid":{"rendered":"http:\/\/localhost:10028\/uncategorized\/firm-files-40-million-lawsuit-against-bcbs-of-michigan\/"},"modified":"2019-07-31T17:37:38","modified_gmt":"2019-07-31T21:37:38","slug":"firma-dosyalari-40-milyon-michigan-bcbs-aleyhine-dava","status":"publish","type":"post","link":"https:\/\/napolilaw.lemonadestand.org\/tr\/article\/firma-dosyalari-40-milyon-michigan-bcbs-aleyhine-dava\/","title":{"rendered":"Firma Michigan BCBS'sine Kar\u015f\u0131 $40 Milyonluk Dava A\u00e7t\u0131"},"content":{"rendered":"

Amerika Birle\u015fik Devletleri Michigan Bat\u0131 B\u00f6lgesi B\u00f6lge Mahkemesinde yap\u0131lan \u015fikayette, eyaletin en b\u00fcy\u00fck sa\u011fl\u0131k sigortas\u0131n\u0131n eksik \u00f6deme yapt\u0131\u011f\u0131 ve madde ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 ve di\u011fer davran\u0131\u015fsal sa\u011fl\u0131k bozukluklar\u0131 tedavisiyle ilgili iddialar\u0131 haks\u0131z yere reddetti\u011fi iddia ediliyor.<\/em><\/p>\n

Napoli Shkolnik filed\u00a0a lawsuit in the United States District Court for the Western District of Michigan on behalf of four substance abuse treatment centers (Serenity Point Recovery, A Forever Recovery, Behavioral Rehabilitation Services, Best Drug Rehabilitation) against Blue Cross Blue Shield of Michigan (BSBSMI) based upon their failure to properly pay benefits related to substance abuse treatment and other behavioral health disorders for over 4,000 patients.<\/p>\n

\u015eikayet, $40 milyon dolar\u0131 a\u015fan telafi edici zararlar, cezai zararlar, k\u00e2r\u0131n da\u011f\u0131t\u0131lmas\u0131, tespit ve ihtiyati tedbir ve avukatl\u0131k \u00fccretleri ve masraflar\u0131 ve di\u011fer tazminat talep ediyor.<\/p>\n

Y\u0131llard\u0131r, Michigan'\u0131n en b\u00fcy\u00fck sa\u011fl\u0131k sigortas\u0131, \u00fcyelerinin ya\u015famlar\u0131 \u00fczerinden kar elde etti.<\/strong><\/p>\n

2018 y\u0131l\u0131nda \u201ckar amac\u0131 g\u00fctmeyen\u201d bir kurulu\u015f olan BSBSMI'nin CEO'suna $20 milyon dolar \u00f6denirken, \u015firket $29,3 milyar dolar ciro \u00fczerinden $580 milyon dolar\u0131n \u00fczerinde kar bildirdi.<\/p>\n

Bu arada, Haziran 2016'dan bu yana, yard\u0131mlar\u0131 haks\u0131z yere kesti ve madde k\u00f6t\u00fcye kullan\u0131m\u0131 ve di\u011fer davran\u0131\u015fsal sa\u011fl\u0131k sorunlar\u0131yla ilgili iddialar\u0131 reddetti. \u00c7o\u011fu durumda, bu hizmetler i\u00e7in BCBSMI taraf\u0131ndan \u00f6denen oranlar, hizmet sunan sa\u011flay\u0131c\u0131lara ger\u00e7ek maliyetin ve hatta Medicaid taraf\u0131ndan \u00f6denen oranlar\u0131n alt\u0131ndad\u0131r.<\/p>\n

Bu, tedavi merkezlerinin kapat\u0131lmas\u0131na ve hakl\u0131 olarak tedavinin kar\u015f\u0131lanaca\u011f\u0131na inanan hasta ve ailelere s\u00fcrpriz t\u0131bbi faturalarla sonu\u00e7land\u0131.<\/p>\n

Genel etki, hayat kurtaran hizmetlere en \u00e7ok ihtiya\u00e7 duyuldu\u011fu bir zamanda eri\u015fimin reddedilmesi olmu\u015ftur.<\/p>\n

Michigan, salg\u0131ndan en \u00e7ok etkilenen eyaletlerden biri. opioid salg\u0131n\u0131<\/a>, her g\u00fcn ortalama 7 Michiganl\u0131 a\u015f\u0131r\u0131 dozdan \u00f6l\u00fcyor.<\/p>\n

Michigan'da a\u015f\u0131r\u0131 dozdan kaynaklanan \u00f6l\u00fcmler, eyaletteki araba kazas\u0131 ve ate\u015fli silahlarla \u00f6l\u00fcmlerin toplam oran\u0131n\u0131 her y\u0131l a\u015f\u0131yor.<\/p>\n

BCBSMI'nin eylemleri, \u00fcyeler, ERISA, the Federal Ak\u0131l Sa\u011fl\u0131\u011f\u0131 E\u015fitli\u011fi ve Ba\u011f\u0131ml\u0131l\u0131k E\u015fitli\u011fi Yasas\u0131 (Parite Yasas\u0131)<\/a>yan\u0131 s\u0131ra doland\u0131r\u0131c\u0131l\u0131\u011f\u0131, haks\u0131z ticari uygulamalar\u0131 ve di\u011fer yasa d\u0131\u015f\u0131 eylemleri yasaklayan eyalet yasalar\u0131.<\/p>\n

Vaka, Serenity Point Recovery, Inc ve ark. v. Michigan'\u0131n Bat\u0131 B\u00f6lgesi i\u00e7in Amerika Birle\u015fik Devletleri B\u00f6lge Mahkemesindeki Blue Cross Blue Shield of Michigan, dava numaras\u0131 19-cv-00620.<\/p>\n

Bir madde ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 tedavi merkezi veya davran\u0131\u015f sa\u011fl\u0131\u011f\u0131 tesisi iseniz ve Michigan Blue Cross Blue Shield veya ba\u015fka herhangi bir ticari sigorta \u015firketinin eksik \u00f6deme yapt\u0131\u011f\u0131na veya iddialar\u0131 haks\u0131z yere reddetti\u011fine inan\u0131yorsan\u0131z, l\u00fctfen bug\u00fcn bizi araman\u0131z\u0131 \u00f6neririz.<\/p>\n

Napoli Shkolnik offers a free legal analysis based on your specific circumstances.<\/p>\n

\u00d6n yasal \u00fccret yoktur ve yaln\u0131zca davan\u0131z\u0131 kazand\u0131\u011f\u0131m\u0131zda bir \u00fccreti geri al\u0131r\u0131z.<\/p>\n

Ortak Matt Lavin<\/a> sa\u011fl\u0131k hizmeti sa\u011flay\u0131c\u0131s\u0131 m\u00fc\u015fterilerini b\u00fcy\u00fck sigorta \u015firketlerine kar\u015f\u0131 temsil etme deneyimine sahiptir.<\/p>\n

Bay Lavin ayr\u0131ca uzun y\u0131llar bir madde ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 tedavi merkezinde \u00e7al\u0131\u015ft\u0131 ve bu nedenle m\u00fc\u015fterilerinin ihtiya\u00e7lar\u0131n\u0131 ger\u00e7ekten anl\u0131yor.<\/p>\n

Yasal se\u00e7eneklerinizi g\u00f6zden ge\u00e7irmeniz i\u00e7in Matt ve ekibiyle \u00fccretsiz, ba\u011flay\u0131c\u0131 olmayan bir dan\u0131\u015fma i\u00e7in ileti\u015fime ge\u00e7menizi \u00f6nemle tavsiye ederiz.<\/p>","protected":false},"excerpt":{"rendered":"

Amerika Birle\u015fik Devletleri Michigan Bat\u0131 B\u00f6lgesi B\u00f6lge Mahkemesinde yap\u0131lan \u015fikayette, eyaletin en b\u00fcy\u00fck sa\u011fl\u0131k sigortas\u0131n\u0131n eksik \u00f6deme yapt\u0131\u011f\u0131 ve ilgili iddialar\u0131 haks\u0131z yere reddetti\u011fi iddia ediliyor\u2026<\/p>","protected":false},"author":3,"featured_media":7901,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[772],"tags":[878,954,955],"class_list":["post-7900","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-business-litigation","tag-insurance-claims","tag-erisa","tag-parity"],"acf":[],"page_builder_type":"gutenberg","gutenberg_data":[],"_links":{"self":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/posts\/7900","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/comments?post=7900"}],"version-history":[{"count":0,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/posts\/7900\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/media\/7901"}],"wp:attachment":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/media?parent=7900"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/categories?post=7900"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/tags?post=7900"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}