The Supreme Court of the United States has declined to consider a Fifth Circuit Court of Appeals panel’s decision stating the Western District of Texas should not have compelled arbitration in a wind energy dispute because the parties’ case was not ripe for arbitration.
Continue reading...Last week, the Court of Arbitration for Sport (“CAS”) delivered a decision related to 39 lifetime athlete bans that were issued by the Disciplinary Commission of the International Olympic Committee (“IOC”).
Continue reading...Amy Schmitz, Elwood L. Thomas Missouri Endowed Professor of Law at the University of Missouri School of Law, has published an interesting journal article titled “A Blueprint for Online Dispute Resolution System Design,” 21 Journal of Internet Law 3-11, Forthcoming; University of Missouri School of Law Legal Studies Research Paper No. 2018-07.
Continue reading...The Golden State Warriors professional basketball team has reportedly agreed to engage in private mediation with a fan who filed a proposed class action lawsuit claiming the team recorded her private conversations using a smartphone app.
Continue reading...David L. Noll, Associate Professor of Law at Rutgers School of Law, has published an interesting article titled “Public Litigation, Private Arbitration?” 18 Nev. L.J. 477 (2018).
Continue reading...by Holly Hayes The February 2011 American Health Lawyers Association (AHLA) Connections magazine lists the “Top Ten Health Law Issues in a Reformed Healthcare System 2011.” Healthcare reform law passed in 2010 prompted the AHLA to change the focus of their annual “Top 10” article for 2011. Former “Top 10” issues amended by healthcare reform and some new topics that emerged by the passage of the legislation are included in this year’s list (details of each topic are listed here): 1. Constitutionality of the Individual Mandate – Peter Leibold, AHLA 2. Accountable Care Organizations – Bianca Bishop, AHLA 3. Fraud and Abuse and Program Integrity – Bianca Bishop, AHLA 4. Medicare Payment Modifications – Rebecca L. Burke, Powers Pyles Sutter and Verville PC 5. Medicare Physician Payment: The Sustainable Growth Rate Formula – Bianca Bishop, AHLA 6. Delivery System Reforms – Cynthia Conner, AHLA 7. Medical Loss Ratio Requirements – Arthur N. Lerner, Crowell & Moring LLP 8. Physician Employment – Cynthia Conner, AHLA 9. Insurance Reform and Medicaid Expansions – Katherine J. Hayes, Associate Research Professor, George Washington University, Department of Health Policy 10. EMR/HIT/HIPAA – Alan S. Goldberg, Attorney and Counsellor at Law Let us hear your thoughts on any of these topics. Technorati Tags: Healthcare, Mediation Holly Hayes is a mediator at Karl Bayer, Dispute Resolution Expert where she focuses on mediation of health care disputes. Holly holds a B.A. from Southern Methodist University and a Masters in Health Administration from Duke University. She can be reached at holly@karlbayer.com.
Continue reading...by Holly Hayes I recently conducted a Q & A via email with Richard J. Webb (pictured left) who writes the Healthcare Neutral Blog. Mr. Webb is a graduate of Yale University (B.A., cum laude, 1975) and the Duke University School of Law (J.D. 1978). His additional alternative dispute resolution training currently amounts to 177 hours of classroom time, including 60 hours of advanced mediation courses at the Straus Institute for Dispute Resolution at Pepperdine University in Malibu, California. He has received a peer review rating of AV from Martindale-Hubbell, and has been recognized as a New Jersey SuperLawyer in the field of healthcare law. 1. On your website, Healthcare Neutral ADR Blog, you state, “the effective use of ADR in healthcare disputes requires combined expertise in both the process of dispute resolution and the subject matter giving rise to the conflict.” Can you talk more about that? Some would argue that ADR is primarily about process and communication skills, so that a neutral, particularly in mediation, need not know anything about the substantive issues underlying the dispute in question. In the healthcare field, I strongly disagree. (Note that I am referring here to disputes in which the healthcare context is important, and not to disputes that transcend the industry setting, e.g., a zoning dispute involving construction of a hospital’s parking garage.) The complexity of the legal and regulatory issues as well as the business landscape require the neutral to have subject matter expertise if evaluative techniques are to be used effectively. The credibility of the neutral with the parties also depends upon developing confidence in the neutral’s judgment, something that is difficult when the neutral can’t even speak the parties’ language. On the other hand, neutrals with health law expertise but no meaningful training or experience in ADR add little to what the parties and their counsel already have in the room. Remember, too, that efficiency is a major goal of ADR, one that is difficult to reach if the neutral requires on the job training in the process or the subject matter. 2. What was your inspiration for moving into the healthcare ADR field? About ten years ago, having been in legal practice for twenty years, I became increasingly disenchanted with the traditional litigation process as the “standard” or “accepted” means of resolving conflicts. I began to study ADR developments and took some courses, and soon realized that my field of practice, healthcare law, was fertile ground for the use of ADR. While continuing my legal practice, I then charted a course of ADR training and experiential opportunities that culminated in forming Healthcare Neutral, LLC in 2007. 3. What have been your greatest challenges in the healthcare ADR field? Healthcare ADR remains a relatively new field, and many of the parties in a position to utilize ADR have yet to embrace it. With the exception of some “mature” markets around the country, achieving engagement as a neutral requires not only convincing parties that you are a qualified neutral, but first getting them to understand why they should use ADR at all. This is the main reason I write my blog: to build awareness of the subject and my commitment to it. Of course, with that comes the challenge of time – there are only so many hours in the day. 4. Could you talk about the evolution of healthcare mediation over your 30 years of legal practice in the field? I have noticed a few things. First, the use of ADR provisions in all types of agreements written in the field has gone from being an exception to the rule. Lawyers (myself included) 30 years ago looked suspiciously at ADR provisions because they threatened to take what we thought were clearly written contract provisions and turn them over to some unknown neutral, rather than allowing a judge to simply apply the law we all knew. Experience with some real judges’ decisions and the frustrations arising from the litigation process opened our minds. In this same period, the ADR movement grew to include a core of dedicated academics, trainers and practitioners who presented the notion of ADR as a real alternative to courtroom litigation. Having said this, there remains some distance to go before ADR is not only recognized in the drafting of agreements, but also truly embraced by the legal community. For example, the bulk of “healthcare mediation” today occurs in the form of post complaint settlement conferences. These are useful, but don’t reach the potential benefits that mediation can offer. 5. Is there a particular style of mediation, in your experience, that works best in healthcare? I assume you refer to what’s often called facilitative v. evaluative v. transformative mediation. Any given case may call out for one of these techniques to be used primarily, but in general, I find that elements of all three have value in most mediations. The art is in when to employ them. In this regard, healthcare disputes are no different than any other. 6. How might the new Joint Commission standards, regarding a hospital Code of Conduct, impact ADR or mediation in healthcare? A new Joint Commission standard targeting disruptive behavior went into effect last year. It requires all hospitals to have in place a code of conduct that will define the scope of acceptable behavior by all hospital personnel (including medical staff), and provide for a process by which unacceptable behavior will be addressed. A separate, new Joint Commission leadership standard requires hospital boards, medical staff and senior management to develop a process to manage conflict among these leadership groups and implement it when needed. Both initiatives effectively mandate an “alternative” dispute resolution process. This is a great development for healthcare ADR. 7. Are there instances in healthcare when you think mediation is not appropriate? Very few disputes, in or outside of healthcare, would not benefit from mediation. One that comes to mind is a case in which one (or both) of the parties needs a judicial determination to establish […]
Continue reading...by Holly Hayes In the Winter edition of the Texas Mediator, Susan Schultz calls for the “mediation community to engage in communal reflection” regarding the passage of the bad faith section of Texas HB 2256 which requires the mediator to report “bad faith mediation”. Overall, the bill provides a procedure for mediation of out-of-network health benefit claim disputes. (read more here) In her article, ‘Bad Faith Mediation: Bad News for Mediators’, Ms. Schultz states, “while the new law may be a positive step toward the use of dispute resolution processes generally, it raises particular concerns with its structure of the mediation process” raising the following questions for mediators: “What are the fundamental values of mediation? How do we safeguard these values? What have we done to educate the public/what more could we do? How do we educate legislators and staff members? What are our resources? Are we using them efficiently?” As posted on Disputing (read the post here), Texas mediators operate under the Alternate Dispute Resolution Procedures (Chapter 154) of the Civil Practice & Remedies Code which provides in Section 154.053(c) that “[u]nless the parties agree otherwise, all matters, including the conduct and demeanor of the parties and their counsel during the settlement process, are confidential and may never be disclosed to anyone, including the appointing court.” Reporting bad faith mediation is in direct conflict with the Code under which mediators operate in Texas. Ms. Schultz refers also to the subchapter of the Texas ADR Procedures Act devoted to “impartial third parties”. She asks, “How does the mediator build trust among the parties and maintain impartiality when the mediator is also tasked with reporting bad faith based on each party’s conduct? Making the mediator the watchdog for bad faith is not consistent with impartiality.” What are the next steps in the implementation of HB 2256? The Texas Department of Insurance (TDI) states in its ‘Implementation Plan for the 81st Legislative Session’, it is required to “adopt rules re: complaint form and processing”. TDI held a public meeting on September 9, 2009, regarding rule making for the bill and is working on a draft rule. On its website, TDI provides information regarding ‘Mediation for Out-of-Network Hospital-based Health Care Provider Claims’ and lists eligibility criteria to request mediation. (read more here) The Chief Administrative Law Judge of the State Office of Administrative Hearings (SOAH) is charged with appointing a mediator from a list of qualified mediators maintained by SOAH. Mediators are randomly assigned to cases unless the parties select and agree upon another mediator. (read more here) In the long term, concern with the bad faith section of HB 2256 is that without appropriate feedback from the ADR community, this section may be copied into other bills and may become standard procedure. Ms. Schultz asks, “Questions abound: What should we do?” We welcome your thoughts on the question of the long-term impact of the bad faith section of HB 2256, ways to safeguard the fundamental values of mediation and how to educate the public and legislators/staff members about those values. Technorati Tags: Healthcare, ADR, law, mediation Holly Hayes is a mediator at Karl Bayer, Dispute Resolution Expert where she focuses on mediation of health care disputes. Holly holds a B.A. from Southern Methodist University and a Masters in Health Administration from Duke University. She can be reached at: holly@karlbayer.com.
Continue reading...Disputing is published by Karl Bayer, a dispute resolution expert based in Austin, Texas. Articles published on Disputing aim to provide original insight and commentary around issues related to arbitration, mediation and the alternative dispute resolution industry.
To learn more about Karl and his team, or to schedule a mediation or arbitration with Karl’s live scheduling calendar, visit www.karlbayer.com.
Disputing is published by Karl Bayer, a dispute resolution expert based in Austin, Texas. Articles published on Disputing aim to provide original insight and commentary around issues related to arbitration, mediation and the alternative dispute resolution industry.
To learn more about Karl and his team, or to schedule a mediation or arbitration with Karl’s live scheduling calendar, visit www.karlbayer.com.