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Triage: Rapid Legal Lessons for Busy Health Care Professionals is a podcast created by the K&L Gates health care practice group to inform our clients and friends of the firm about the latest developments in health law. If you would like to provide feedback or would like to suggest a topic for a future episode of Triage, please contact usUse the icons below to subscribe to Triage via your favorite podcast app to have our episodes delivered directly to you as they become available.

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 Advantage insurer under state law contract claims for underpayments without being required to exhaust administrative remedies and follow the federal Medicare Advantage administrative appeals process for each individual patient claim at issue. 

Presenters: Gary S. Qualls and Zachary W. Ernst

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