Philadelphia-based Jefferson Health filed a lawsuit against Aetna over its “level of severity inpatient payment policy” for Medicare Advantage beneficiaries, according to an April 6 filing in a Pennsylvania federal court. The policy took effect in 2026 after Aetna bumped…
Legal
A judge for the U.S. District Court for the District of Massachusetts denied a motion to dismiss a lawsuit alleging an antitrust conspiracy by healthcare technology company Zelis and five major health insurers, according to a March 30 court filing.…
A federal judge is allowing most claims to move forward in a proposed class action lawsuit accusing Carelon Behavioral Health of maintaining an inaccurate and misleading directory of in-network mental health providers for New York state employees. Carelon, the health…
A federal judge has dismissed a class action lawsuit that accused UnitedHealthcare of illegally installing third-party tracking software on its website to collect visitor data without consent. The case, originally filed in October 2025, was brought by a California resident…
A trustee of Dallas-based Steward Health Care is suing Aetna to recover $6.36 million the carrier allegedly owes, according to a March 27 lawsuit filed in the Houston division of the southern district of Texas U.S. bankruptcy court. In the…
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A judge denied a motion to dismiss a lawsuit alleging a broker kickback scheme involving CVS Health’s Aetna, Elevance Health and Humana, according to a March 25 filing in the U.S. District Court in Massachusetts. The judge also ruled that…
Federal lawmakers have introduced bipartisan legislation that would cap patients’ insulin costs at $35 per month. Sens. Jeanne Shaheen, D-N.H., Susan Collins, R-Maine, Raphael Warnock, D-Ga., and John Kennedy, R-La., introduced the bill March 25. The $35 monthly price cap…
A Canadian religious group, Mission Fund, is suing UnitedHealth Group because the company did not include the group’s proposal for reporting on acquisition consequences in its 2026 proxy materials, according to a March 20 filing in the federal district court…
The Maryland Insurance Administration issued Cigna an $80,000 fine and is requiring the insurer to stop automatic downcoding under a recent policy, according to a March 13 letter. Cigna’s evaluation and management policy allows the insurer to adjust some higher-level…
A former Humana employee filed a class-action lawsuit March 17 alleging the insurer improperly deducted a tobacco surcharge as part of its medical coverage, according to a court filing in the U.S. District Court for western Kentucky. The complaint said…