Several HCA Healthcare-affiliated hospitals in Texas filed a lawsuit Sept. 11 against Pennsylvania insurer Independence Blue Cross over alleged claim denials. The plaintiffs include Methodist Healthcare System of San Antonio, St. David’s HealthCare, HCA Houston Healthcare North Cypress, The Woman’s…
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Twenty-one states, plus the District of Columbia, filed a lawsuit Sept. 2 against HHS and CMS, challenging a rule that will cut off Medicaid and CHIP federal funds for youth gender-affirming care. The rule, released in August and set to…
A federal judge has dismissed Ballad Health’s lawsuit accusing UnitedHealth Group of denying and underpaying Medicare Advantage claims, ruling the dispute must go to arbitration. Johnson City, Tenn.-based Ballad sued UnitedHealth in October, alleging the insurer spent years denying valid…
Elevance Health is suing a former vice president over his move to Oscar Health, alleging it would put the insurer’s trade secrets in the hands of a direct competitor. The suit is at least the fifth Elevance has brought against…
San Francisco-based Dignity Health and Dignity Community Care filed a lawsuit against Gold Coast Health Plan Aug. 24, alleging more than $30 million in unpaid bills. The Dignity entities, under Chicago-based CommonSpirit Health, include St. John’s hospitals in Ventura County,…
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Payers have faced state penalties in 2026 for slow reimbursements, mishandled member complaints, and mental health parity violations. Fines in 2025 are here. Payers fined by states in 2026: 1. Blue Shield of California was fined $800,000 by California over…
California’s Department of Managed Health Care fined Blue Shield of California $800,000 due to grievance system issues that ultimately delayed complaint resolution. In California, health plans are required to maintain a grievance and appeal system to address member complaints in…
Air ambulance operator PHI Health is suing Anthem Blue Cross and Blue Shield for allegedly refusing to pay tens of millions of dollars in binding arbitration awards issued under the No Surprises Act. The complaint, filed Aug. 31 in the…
Humana lodged a federal complaint Sept. 3 against Bayer AG and its acquired company, Monsanto, the business behind the weedkiller Roundup, seeking recoveries to address payments for Medicare Advantage members’ non-Hodgkin lymphoma-related care. Roundup’s active ingredient, glyphosate, has previously been…
CareFirst BlueCross BlueShield filed a trademark infringement lawsuit against a Hagerstown, Md.-based in-home healthcare and staffing company Aug. 27. The complaint, filed in the U.S. District Court for Maryland, said the insurer has more than 25 registrations issued by the…