Insurer

Top Attorney Andrew Frankel Champions High-Stakes Insurer Cases in Groundbreaking Litigations

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Andrew Frankel, a seasoned legal expert leading the insurance and reinsurance practice at Simpson Thacher & Bartlett LLP, has been at the forefront of some of the most convoluted coverage disputes in recent years. With a career marked by handling cases involving mass tort litigations, his experience extends to intricate cases related to per- and polyfluoroalkyl substances (PFAS) and talc-related injuries. Frankel’s involvement in these high-stakes disputes has positioned him as a key player in a field that navigates the complexities of insurance claims and policy interpretations that affect millions of dollars in litigation stakes. … Read more

Hawaii’s High Court to Hear Landmark Case Against Major Insurer Over Denied Treatments

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Honolulu, Hawaii — In a significant legal move, the Hawaii Supreme Court has agreed to hear a case involving the state’s largest health insurer, HMSA, which is facing allegations from both physicians and patients. These allegations claim that the pre-authorization requirements set by HMSA have resulted in the denial of necessary medical treatments. The lawsuit underscores a grievous narrative shared by individuals who argue that their medical care was significantly compromised under HMSA’s policies. Among the plaintiffs is the family of Tammy Souza, whose treatment for breast cancer was allegedly denied by HMSA. Her husband, … Read more

$400 Million Victory: Louisiana Jury Holds Major Insurer Accountable for Underpayment in Landmark Case Involving Cancer Patient Care

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New Orleans, LA — A Louisiana civil court verdict has ordered the state’s premier health insurer, Blue Cross Blue Shield of Louisiana (BCBS), to compensate a surgical hospital over $400 million for a backlog of underpaid claims. This ruling comes as a significant breakthrough for healthcare providers in their ongoing struggle against powerful insurance firms over fair payment practices. The target of the litigation, St Charles Surgical Hospital, known for specializing in cancer treatments, accused BCBS of insufficiently compensating for 9,000 previously authorized procedures over a decade. According to hospital officials, the insurance giant either … Read more

Louisiana Jury Hits Major Insurer with $400M Verdict for Underpayment to Cancer Surgery Center

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New Orleans, LA — In a significant legal setback for Blue Cross Blue Shield of Louisiana, a civil court jury has mandated the insurance giant to pay over $400 million for claims underpayments to a local surgery center focusing on cancer treatments. The verdict marks an unprecedented challenge to the practices of major health insurers in Louisiana, escalating concerns about the implications for medical claim settlements statewide. The court’s decision came after allegations surfaced that Blue Cross had either delayed, underpaid, or completely denied payment for approximately 9,000 approved procedures over a decade at St … Read more