Legal Opinion

Care Choices Hmo, Plaintiff-Appellant/cross-Appellee v. Elizabeth Engstrom, Defendant-Appellee/cross-Appellant

Court of Appeals for the Sixth Circuit

Decided May 30, 2003No. 01-2682, 01-2717PublishedCited by 35 opinions

1Opinion of the Court

OPINION

I

KENNEDY, Circuit Judge.

Over the last two decades, Congress has struggled to reduce the cost of the Medicare program. One effort in this struggle is 42 U.S.C. § 1395mm, which permits the Center for Medicare and Medicaid Services (“CMS”), 1 the administrator of Medicare, to contract with private health maintenance organizations (“HMOs”) to provide replacement coverage for Medicare-eligible individuals.

Plaintiff Care Choices HMO is licensed by CMS to provide replacement Medicare coverage. Defendant Elizabeth Engstrom is a Medicare-eligible insured covered by Care Choices HMO. In 1998,…

2Cases cited9 opinions

  1. Cort v. AshSupreme Court of the United States · 1975
  2. Alexander v. SandovalSupreme Court of the United States · 2001
  3. Touche Ross & Co. v. RedingtonSupreme Court of the United States · 1979
  4. California v. Sierra ClubSupreme Court of the United States · 1981
  5. United States v. Blue Cross and Blue Shield of MichiganDistrict Court, E.D. Michigan · 1989

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3Cited by35 opinions

  1. Guillermina Parra v. Pacificare of Arizona, Inc.Court of Appeals for the Ninth Circuit · 2013
  2. Humana Medical Plan, Inc. v. Western Heritage Insurance CompanyCourt of Appeals for the Eleventh Circuit · 2016
  3. In Re Avandia Marketing, Sales Practices & Products Liability LitigationCourt of Appeals for the Third Circuit · 2012
  4. Salt Lick Bancorp. v. Federal Deposit InsuranceCourt of Appeals for the Sixth Circuit · 2006
  5. Potts v. Rawlings Co.District Court, S.D. New York · 2012

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