A federal judge has granted UnitedHealthcare and PacificSource preliminary injunctions that block Idaho from taking action against the insurers over their Medicare Advantage broker compensation practices. The insurers sued Idaho Insurance Director Dean Cameron in November after the state issued…
Legal
The Supreme Court of the State of Idaho dismissed Elevance Health subsidiary Carelon’s lawsuit on its eligibility to bid for a mental health contract, according to a Dec. 18 filing. In 2021, the Idaho Department of Health and Welfare solicited…
Montgomery, Ala.-based Jackson Hospital filed a lawsuit against Blue Cross and Blue Shield of Alabama over its reimbursement rates, according to a Dec. 18 complaint in the U.S. Bankruptcy Court for the Middle District of Alabama. Jackson Hospital is in…
Aetna will settle with LGBTQ+ members over alleged discrimination with fertility treatments, according to mid-December court filings in the U.S. District Court for northern California. The court granted preliminary approval for the class-action settlement Dec. 17. Commercial Aetna members with…
BlueCross BlueShield of Tennessee agreed to a settlement with employees who said the company denied their COVID-19 vaccine exemption requests, thus affecting their careers, according to a Dec. 8 filing in the U.S. District Court for eastern Tennessee. The employees…
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Minneapolis-based Fairview Health Services submitted a motion Dec. 18 to intervene in the state of Minnesota’s rehabilitation of UCare, which underwent state control Dec. 17. “Fairview should not be required to watch as a bystander while the state unilaterally resolves questions…
The New York attorney general’s office settled with Centene subsidiary Fidelis Care to refund members who improperly paid for COVID-19 testing visits and some HIV screening services. Under the settlement, Fidelis reprocessed “tens of thousands of claims,” paid more than…
A group of 33 NorthStar anesthesia providers filed a lawsuit against Aetna and Cigna over an alleged $4.1 million in No Surprises Act underpayments, according to Dec. 8 filings in Connecticut’s U.S. District Court. NorthStar said it found claims that…
UnitedHealthcare reached a settlement with a cap of $6.75 million in a class-action lawsuit over coverage of proton beam therapy for cancer patients, according to a Dec. 12 court filing in the Massachusetts U.S. District Court. Proton beam therapy is…
California’s Department of Managed Health Care fined three Centene-owned health plans a total of $1.7 million over concerns about not meeting reporting rate standards for timely access of appointments. The department fined Health Net of California $1.2 million, Human Affairs…