Legal

The Blue Cross and Blue Shield Association filed a lawsuit against Medical Lien Pros Nov. 5, alleging the company improperly registered the name “Anthem Blue Cross and Blue Shield.” Community Insurance Co., a plaintiff in the case, does business in…

Blue Cross and Blue Shield of Massachusetts has lost its legal challenge against CMS over the methodology used to calculate its 2025 Medicare Advantage star ratings. In a Nov. 3 ruling from the U.S. District Court for the District of…

New York City employees and retirees — coupled with advocacy group Hands Off NY Care — filed a lawsuit in response to the city’s expected transition to a self-funded health plan, according to an Oct. 29 court document. The new…

California Attorney General Rob Bonta has reached a $34 million settlement to resolve claims that the Aliera Companies and its subsidiaries, along with Sharity Ministries, (formerly Trinity Healthshare) sold and operated sham health plans in violation of state law.  The…

Wellmark Blue Cross and Blue Shield has filed a lawsuit against Iowa’s insurance commissioner, challenging the enforcement of a newly enacted state law that regulates pharmacy benefit managers and the administration of prescription drug benefits. The lawsuit, filed on Oct.…

A federal judge rejected Blue Cross Blue Shield of Rhode Island’s motion to dismiss a lawsuit over coverage of wilderness therapy, according to Oct. 14 court documents. Wilderness therapy is a mental health intervention that involves immersing young people in…

A federal judge dismissed Humana’s Medicare Advantage 2025 star ratings lawsuit with prejudice Oct. 14, according to court documents. After an earlier suit was dismissed in July, Humana filed a complaint to resurface its concerns with its star ratings. The…

California Attorney General Rob Bonta landed a $40 million settlement with Health Net, a subsidiary of Centene, over inaccurate provider directories, according to an Oct. 13 news release. The settlement includes a $12 million payment and roughly $28.5 million in…

A federal judge in Indiana has thrown out most claims in a whistleblower lawsuit accusing four insurers and six health systems of improperly billing the state’s Medicaid program, but left the door open for the case to continue. The lawsuit,…

Omaha, Neb.-based GS Labs, a currently nonoperational COVID-19 testing firm, is suing Aetna, alleging the insurer owes over $53 million for more than 100,000 claims related to COVID-19 testing services, according to an Oct. 6 court filing. GS Labs accused…