Kaiser Found. Health Plan, Inc. v. Superior Court of L. A. Cnty.
California Court of Appeal, 5th District
1Opinion of the Court
SMALL, J.*
*1129INTRODUCTION
Prime Healthcare La Palma, LLC and affiliated hospitals (collectively, Prime)1 sued Kaiser Foundation Health Plan, Inc. (Kaiser)2 in superior court *1130under California law, alleging that Kaiser failed to reimburse Prime for emergency medical services Prime provided to Kaiser members. A portion of Prime's claims relate to emergency medical services Prime provided to enrollees in a Medicare Advantage plan administered by Kaiser pursuant to Part C of the Medicare Act ( 42 U.S.C. § 1395w-21 et seq. ) (the Medicare Advantage claims).
After a rather convoluted multi-year path, the…
2Cases cited22 opinions
- Lewis v. CaseySupreme Court of the United States · 1996
- Moncharsh v. Heily & BlaseCalifornia Supreme Court · 1992
- Daar v. Yellow Cab Co.California Supreme Court · 1967
- Olson v. CoryCalifornia Supreme Court · 1983
- Vandenberg v. Superior CourtCalifornia Supreme Court · 1999
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