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If you work in the health care industry, you have grown accustomed to frequent changes in laws and regulations. Triage: Rapid Legal Lessons for Busy Health Care Professionals, created by K&L Gates, provides its listeners with timely content regarding regulatory and legal developments in the health care industry.  

We welcome you to listen to the programs on this page. Or, using the icons below, you can subscribe to them via your favorite podcast app to have our podcasts delivered directly to you as they become available.

If you have feedback or a topic you want us to analyze in a future episode, please let us know.

Jul 26, 2018

In this episode, Gary Qualls discusses a recent development in payer litigation, regarding a provider’s recovery of Medicare Advantage payments pursuant to a Medicare Advantage contract. Specifically, a recent federal case from California is among the first to clarify that providers may sue a Medicare...


Apr 26, 2017

This is the third segment in a three-part series about the fundamentals of Payor-Provider Litigation. This webinar addresses the process employed by insurers to recoup payments from in-network and out-of-network providers. It also explains the procedural process and protections associated with an “adverse...


Apr 17, 2017

This is the second segment in a three-part series about the fundamentals of Payor-Provider Litigation. This webinar explains why providers are required to demonstrate “derivative standing” through an “assignment of benefits” in order to proceed with a payment dispute brought under the Employee Retirement...


Apr 12, 2017

This is the first segment in a three-part series about the fundamentals of Payer-Provider Litigation. It explains that in-network providers are required to challenge reimbursement decisions under contract law and state law, while out-of-network providers are increasingly required to bring claims under the Employee...


Feb 22, 2017

This is the third segment in a three-part series about reference-based pricing. The third segment identifies potential causes of action against reference-based administrators, who carry out referenced-based pricing models and interfere with the relationship between patients and providers.

Speaker: Gary Qualls

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