Judge:  Lung Transplant Claims Subject To Medicare Exhaustion, Even Where Futile

Mealey's (June 5, 2020, 1:47 PM EDT) -- LOS ANGELES — Before bringing any suit alleging that a Medicaid Advantage insurer improperly denied preauthorization for lung transplant consultations, a widow must exhaust administrative options, even if that review is futile given the insured’s death, and the claims are preempted by federal law, a federal judge in California said June 2 in granting the defendant summary judgment (Naomi J. Aylward, et al. v. SelectHealth Inc., et al., No. 18-494, S.D. Calif., 2020 U.S. Dist. LEXIS 96675)....