News & Events

U.S. District Court Certifies Class Action for Magellan/Blue Shield of California Insurance Denials

Posted Jun 20 2017 by / Latest News / 0 Comments /

Psych-Appeal, in conjunction with Zuckerman Spaeder LLP and Grant & Eisenhofer P.A., today announced that a class has been certified in a lawsuit against Blue Shield of California and Human Affairs International of California, Inc., a subsidiary of Magellan Health, Inc. The suit alleges that the insurers’ proprietary internal guidelines improperly restricted insurance coverage for

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Cigna and Aetna TMS Class Action Updates

Posted May 05 2017 by / Latest News / 0 Comments /

Two lawsuits co-filed by Psych-Appeal have received class certification orders. Weil v. Cigna Health et al. received preliminary approval of class action settlement and related relief by the United States District Court for the Central District of California on April 17, 2017. Meidl v. Aetna et al. was certified as a class action by the

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TIPS: How Providers Can Negotiate Managed Care Contracts

Posted Feb 06 2017 by / Latest News / 0 Comments /

State Medicaid directors are one player in helping to ensure that mental health and addiction parity protections are properly negotiated into contracts with managed care organizations—providers are another. The inclusion of specific, contractual language into contracts with MCOs that administer both commercial and Medicaid plans offers multiple benefits. These provisions can help providers act on

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TIPS: Enhancing State Medicaid Contracts to Improve Mental Health Care Access

Posted Jan 12 2017 by / Latest News / 0 Comments /

While it’s encouraging to see increased public dialogue on the issue of mental health parity, there’s one area that receives scant attention—the state of mental health care under Medicaid. It is imperative that states work to ensure that mental health and addiction parity protections are properly negotiated into contracts with managed care organizations (MCOs) administering

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Enforcing Mental Health Parity: Progress and Challenges

Posted Oct 03 2016 by / Latest News / 0 Comments /

Last fall, Health Affairs published “Enforcing Mental Health Parity.” The health policy brief may no longer be hot off the press, but it’s still very relevant. The 7-page paper offers an excellent snapshot of how far we’ve come as a nation in addressing mental health parity—and how much we have left to do to ensure that it

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Federal Court Certifies Nationwide Class Action Challenging UBH Criteria

Posted Sep 20 2016 by / Latest News / 0 Comments /

In a significant mental health ruling, the United States District Court for the Northern District of California has come one step closer to ordering health insurance giant United Behavioral Health (UBH) to revamp its medical necessity criteria and reprocess thousands of outpatient, intensive outpatient and residential treatment claims it denied since 2011. Plaintiffs in two

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Psych-Appeal’s Meiram Bendat on KQED’s “State of Mind” Series

Posted May 31 2016 by / Latest News / 0 Comments /

NPR member station KQED is looking into the “State of Mind” in California with an investigation into the accessibility of mental health treatment—and the ramifications of denials and gaps in coverage. As part of the series, reporter April Dembosky spoke to Psych-Appeal’s Meiram Bendat about the Department of Managed Health Care’s relationship with insurance companies.

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Magellan/Blue Shield of California Lawsuit Alleges Improper Denial of Care to Teens

Posted May 26 2016 by / Latest News / 0 Comments /

Psych-Appeal, Grant & Eisenhofer P.A. and Zuckerman Spaeder LLP have filed a class-action lawsuit against Magellan and Blue Shield of California on behalf of adolescents suffering from mental health and substance use disorders. The suit alleges that the health insurers limit and deny coverage for outpatient and residential treatment using strict guidelines that are created

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California DMHC Sued for Unlawful Handling of Mental Health Appeals

Posted Feb 24 2016 by / Latest News / 0 Comments /

With Psych-Appeal as its counsel, Evolve Growth Initiatives LLC has filed a first-of-its-kind lawsuit against the California Department of Managed Health Care and its director, Shelley Rouillard. The lawsuit seeks to compel DMHC to follow a 16-year-old state law requiring DMHC to promptly process expedited appeals when health care coverage, including mental health treatment, is

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Mental Health State of the Union Champions the “System We Need”

Posted Feb 23 2016 by / Latest News / 0 Comments /

Today’s second annual State of the Union in Mental Health and Addiction called for changing public discourse on mental health as well as establishing a comprehensive “System We Need” to help achieve full implementation of the Parity Act. “We’re here to set a political agenda, not a medical agenda,” said former Rep. Patrick Kennedy, founder of

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