managed-care

3 cases — ← All topics

Case Title Lower Court Docketed Status Flags Tags Question Presented
22-534 Theresa Eagleson, Director, Illinois Department of Healthcare and Family Services v. St. Anthony Hospital, et al. Seventh Circuit 2022-12-09 GVR Amici (1)Response RequestedResponse WaivedRelisted (3) 42-usc-1983 contract-enforcement managed-care medicaid private-rights section-1983 spending-clause statutory-duty timely-payment Whether Spending Clause legislation, including Section u-2(f), can impliedly create private rights enforceable under 42 U.S.C. § 1983
21-8189 Serge Francois v. United States Eleventh Circuit 2022-06-21 Denied Response WaivedIFP constitutional-law constitutional-rights criminal-law ex-post-facto fraud managed-care network-application pharmacist-fraud pharmacy utilization-review Whether the Eleventh Circuit reversibly erred in affirming the conviction of a pharmacist for completing accurate pharmacy network applications with n…
18-40 Legacy Community Health Services, Inc. v. Charles Smith, Executive Commissioner, Texas Health and Human Services Commission Fifth Circuit 2018-07-06 Denied Amici (2) circuit-split federal-grants federally-qualified-health-centers fqhc health-centers managed-care managed-care-network medicaid-reimbursement public-health-service public-health-service-act statutory-interpretation Whether 42 U.S.C. §§ 1396a(bb)(1)-(5) impose an independent duty on States to fully reimburse FQHCs for all services they provide to Medicaid benefici…