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EMC Silent PPO Class Action Certified Print E-mail
 
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EMC Silent PPO Class Action Certified
 
By Kimberly O'Donnell
  

medical claimA 2005 lawsuit against Employers Mutual Casualty over improper PPO reductions has finally been certified as a class action lawsuit. An estimated 10,000 to 15,000 medical providers in Illinois could be affected by the outcome of the case.

 

Plaintiffs in the Employers Mutual Casualty Class Action Lawsuit allege they’ve been underpaid by approximately 20% of their medical services/bills on workers’ compensation claims because Employers Mutual Casualty (EMC) engages in a “silent PPO scheme.”

 

“Silent PPO” is the term used for the somewhat common practice of companies who are responsible for paying medical claims, such as EMC, improperly deducting PPO discounts from their payments to medical providers. The term “silent” is used because providers are not told the PPO discount will be taken until after the service is rendered and the claim has been processed. This often occurs because the physician’s PPO provider network and its accompanying negotiated contracts are sold to third-party payers and brokers without the physician’s knowledge or consent. Physicians only become aware that they’ve been enrolled in a silent PPO when they provide services to a patient not covered by the PPO or when they’re reimbursed at a discounted rate and not the higher rate they were expecting. The American Medical Association believes this practice is fraudulent and began cracking down on silent PPOs in past 5 to 10 years. It estimates medical providers nationwide have lost between $750 million and $3 billion annually since silent PPOs became common 20 years ago.

 

The Employers Mutual Casualty Class Action Lawsuit charges that EMC “wrongfully and deceptively reduced payments” to licensed healthcare providers on valid claims “by claiming the benefits of PPO agreements without performing any of the associated obligations to that agreement.”

 

The newly certified class action lawsuit includes all Illinois health care providers who treated workers’ compensation patients from February 1, 2004 to the present. A copy of the lawsuit can be read here.

 

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Updated September 7th, 2010

 

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Google Buzz Class Action Settlement Print E-mail
 
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Google Buzz Class Action Settlement

By Mike Holter

 

Google Buzz

Google has agreed to pay out $8.5 million to settle a class action lawsuit alleging its Buzz social network violates users’ privacy. The Google Buzz Class Action Lawsuit Settlement provides around $2,500 for each of the seven named plaintiffs in the case. The rest of the settlement money will be placed into a fund to be paid to internet privacy activists to use in their education and policy work.

 

Google Buzz was launched in February as a social networking and messaging tool that integrates with Gmail and other Google services. Almost immediately after its launch, however, Buzz faced criticism over the fact that its default auto-follow feature revealed private information about its users. Some Gmail users were upset because they were automatically opted in to Buzz, which showed other Buzz users who their email contacts were and revealed their Google accounts to people and allowed them to be “followed” without asking their permission. Some of the most publicized cases of Buzz privacy violations included journalists having sources exposed and a woman who was followed by an abusive ex-husband. Some employees even complained their jobs were put in jeopardy after Google Buzz revealed they were in contact with company competitors.

 

Since its launch, Google has made numerous changes to the Buzz policy to appease users, including turning off the auto-follow feature and making it easier to opt-out of the service. It also allowed Gmail users to block anyone from following their account. Despite these changes, a class action lawsuit was filed against Google in February alleging Google Buzz broke several electronic communications laws by sharing personal data without user consent.

 

The Google Buzz Class Action Lawsuit, which can be read here, awaits final approval by the federal court judge presiding over the case. As part of the settlement, Google has also agreed to educate users about the potential privacy impact of using Google Buzz.

 

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Updated September 6th, 2010

 

All class action and lawsuit news updates are listed in the Lawsuit News section of Top Class Actions

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Children's Coldcalm Class Action Lawsuit Print E-mail
 
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Children's Coldcalm Class Action Lawsuit
 
By Sarah Pierce

 

Children's ColdcalmBoiron USA claims its “Children’s Coldcalm” tablets provide relief from the common cold, but “the product is nothing more than a sugar tablet,” according to class action lawsuit filed in California.

 

Children’s Coldcalm is sold for $10.00 a package and is labeled as a homeopathic medicine that relieves common cold symptoms of sneezing, runny nose, nasal congestion, sinus pain, headaches and sore throat. “In reality, Children’s Coldcalm has no impact on the common cold,” the lawsuit states.

 

The fact that Children’s Coldcalm is labeled as homeopathic is appealing to consumers who wish to take natural remedies, the lawsuit says, but Boiron “is taking advantage of the public’s desire for natural products” by “deceiving the public into believing that Children’s Coldcalm is an effective, regulated drug that is held to the same standards as true medical drugs.”

 

 “While marketed as drugs effective in the treatment for any ailment or condition, homeopathic ‘drugs’ are not held to the same rigorous standards as other drugs. This can and has lead to serious confusion. At times, as shown by Children’s Coldcalm, this confusion crosses the line into intentional deception and fraud.”

 

The deception, the lawsuit alleges, lies in the fact that the natural ingredients in Children’s Coldcalm are so diluted that they are “not detectable even through the use of sensitive chemical analysis.” The homeopathic ingredients in Children’s Coldcalm -- which include various flowers, vegetables, insects and metals -- must be diluted in order to avoid poisoning the user, but they’re diluted to the extent that there is no trace of the original ingredient in the solution.

 

The Children’s Coldcalm Class Action Lawsuit is brought on behalf of all California residents who purchased Children’s Coldcalm for personal use at any time in the past four years. It is seeking actual, punitive and statutory damages for class members, including at least $1,000 in statutory damages per class member and $5,000 for each class member who is a senior citizen and disabled and suffered substantial physical, emotional or economic damages.

 

A copy of the Children’s Coldcalm Class Action Lawsuit can be read here

 

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Updated September 3rd, 2010

 

All class action and lawsuit news updates are listed in the Lawsuit News section of Top Class Actions

LEGAL INFORMATION IS NOT LEGAL ADVICE
Top Class Actions Legal Statement
©2008 - 2010 Top Class Actions® LLC
Various Trademarks held by their respective owners.
 
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