New York's highest court of appeals has held that no-fault insurers cannot deny no-fault benefits where they unilaterally determine that a provider has committed misconduct based upon alleged fraudulent conduct. The Court held that this authority belongs solely to state regulators, specifically New York's Board of Regents, which oversees professional licensing and discipline. This follows a similar recent ruling in Florida reported in this publication.
Thomas P. Andriacchi, PhD
Dr. Thomas P. Andriacchi is an emeritus professor of mechanical engineering and orthopaedic surgery at Stanford University. Over the course of his 50+-year career, Dr. Andriacchi has led pioneering research on knee joint biomechanics, the progression of osteoarthritis, and functional markers of musculoskeletal disease. He is the president of SomaTX Design Inc. and brings extensive expertise in translating scientific discovery into clinical application. Contact: tandriac@somatxdesign.com.