State Supreme Court of New York County Judge Lyle Frank denied a preliminary injunction that would have blocked the Jan. 1 rollout of NYCE PPO, a self-funded health plan administered by EmblemHealth and UnitedHealthcare’s third-party administrator, UMR. A Dec. 8…
Legal
West Virginia Attorney General John McCuskey filed a lawsuit against UnitedHealth Group and the subsidiary containing its pharmacy benefit manager, Optum, over their alleged role in the state’s opioid crisis, according to a Dec. 8 statement and court filing. The…
UnitedHealth Group is seeking to dismiss a lawsuit filed by Johnson City, Tenn.-based Ballad Health over alleged “Medicare Advantage manipulation,” arguing the health system is bound by arbitration agreements and filed the case to generate publicity. In a Dec. 4…
Medicare Advantage insurer Zing Health has filed a new lawsuit against HHS and CMS, alleging the agencies failed to remedy harms caused by its improper termination from the MA program last year. The insurer filed the complaint Nov. 26 in…
A Massachusetts federal judge issued a preliminary injunction temporarily preventing Medicaid cuts to certain nonprofit reproductive health and abortion service providers for 23 plaintiff jurisdictions, according to a Dec. 2 ruling. The judge found the cuts, part of the One…
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A federal judge has dismissed the primary claims in a lawsuit that alleged Johnson & Johnson mismanaged its employees’ prescription drug benefits, finding that the plaintiffs failed to demonstrate they suffered concrete harm. On Nov. 26, the federal court in…
UnitedHealthcare has filed a lawsuit against the director of the Idaho Department of Insurance, arguing that the state’s recent efforts to regulate Medicare Advantage plan marketing and broker commissions are in violation of the U.S. Constitution. The lawsuit, filed Nov.…
Humana is not letting go of its 2025 Medicare Advantage star ratings case. In the wake of the dismissal of Humana’s lawsuit with prejudice in October, the insurer announced plans to appeal to the 5th U.S. Circuit Court of Appeals…
California patients are suing Blue Shield of California and Magellan Health over alleged inaccurate mental health provider directories, according to a class-action lawsuit filed Nov. 19. The lawsuit said Blue Shield of California and Magellan work together to administer behavioral…
A federal court in Florida has approved a $3.4 million class action settlement resolving claims that Aetna improperly denied coverage for proton beam radiation therapy to treat cancer. The lawsuit was filed in 2020 by a Florida resident whose request…