HHS is investigating 13 states over potential violations of a federal conscience protection law tied to abortion coverage. HHS’ Office for Civil Rights launched the investigations under the Weldon Amendment, which prohibits federal, state or local governments from discriminating against…
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A federal magistrate judge in Minnesota has ordered UnitedHealth Group to produce a wide range of documents in an ongoing lawsuit accusing the insurer of using an AI algorithm to wrongfully deny Medicare Advantage members post-acute care. The March 9…
UnitedHealthcare and AARP are facing a lawsuit regarding alleged Medicare supplement denials, according to a Feb. 22 complaint filed with the U.S. District Court for New Jersey. The organizations collaborate on a handful of AARP-branded insurance products, including Medigap plans.…
On March 8, a judge for the U.S. District Court in Connecticut approved a preliminary injunction against Aetna, ordering the insurer to alter its gender-affirming care policy for two plaintiffs. Several transgender women sued Aetna in 2024 over denied gender-affirming…
Minnesota filed a lawsuit against CMS and HHS, as well as their respective leaders, Mehmet Oz, MD, and Robert F. Kennedy Jr., regarding $243.8 million in deferred Medicaid funds, according to March 2 documents filed through the U.S. District Court…
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Pennsylvania issued Aetna a $550,000 fine following a market conduct exam that found violations in mental health parity laws, according to a March 3 news release. The Pennsylvania Insurance Department reviewed Aetna’s activity from Oct. 1, 2021, through Dec. 31,…
An investigation into former CalOptima Health board member and chair Andrew Do found no fraud during his tenure, the insurer said in a Feb. 18 news release. In 2025, Mr. Do — previously an Orange County supervisor — was sentenced…
On Feb. 25, physician staffing groups filed a federal antitrust lawsuit in California against the BCBS Association and over 30 of its licensees — along with plan owners Elevance Health, Highmark, GuideWell, Cambia Health Solutions and Health Care Service Corp.…
Montgomery, Ala.-based Jackson Hospital is suing BCBS Alabama amid the hospital’s bankruptcy proceeding, according to a Feb. 16 filing with the Middle District of Alabama’s U.S. Bankruptcy Court. According to the filing, BCBS Alabama loaned over $1.5 million to Jackson…
Oakland, Calif.-based Kaiser Permanente is suing nine liability insurers for breach of contract, alleging they have refused to cover any portion of its $556 million settlement with the federal government resolving False Claims Act allegations tied to Medicare Advantage billing…