How to Reduce a Hospital Lien: Why Reasonableness of Charges Wins the Fight

September 21, 2026

Most hospital lien negotiations start from the wrong number. This post explains why billed charges function more like list prices than a measure of reasonable value, how to determine whether a provider holds an enforceable lien versus an unpaid debt, how to test whether that lien was properly perfected, and how to build a defensible reasonable value range using Medicare rates, commercial negotiated rates, and cost report data. It also covers auditing the itemized bill, catching balance billing violations, and layering statutory and equitable arguments on top of the reasonableness case.

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ERISA Liens: Born in Equity, but Often Anything but Equitable

July 29, 2026

ERISA reimbursement claims are framed as “equitable relief,” but for injured plaintiffs the results often feel anything but fair. This post traces four landmark Supreme Court decisions — Great-West, Sereboff, McCutchen, and Montanile — to explain how plan language can override traditional equitable doctrines like made-whole and common-fund, and what personal injury attorneys need to investigate before paying or contesting a reimbursement demand.

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