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…
Legal
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…
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State Supreme Court of New York County Judge Lyle Frank denied a preliminary injunction that would have blocked the Jan. 1 rollout of NYCE PPO, a self-funded health plan administered by EmblemHealth and UnitedHealthcare’s third-party administrator, UMR. A Dec. 8…
West Virginia Attorney General John McCuskey filed a lawsuit against UnitedHealth Group and the subsidiary containing its pharmacy benefit manager, Optum, over their alleged role in the state’s opioid crisis, according to a Dec. 8 statement and court filing. The…
UnitedHealth Group is seeking to dismiss a lawsuit filed by Johnson City, Tenn.-based Ballad Health over alleged “Medicare Advantage manipulation,” arguing the health system is bound by arbitration agreements and filed the case to generate publicity. In a Dec. 4…
Medicare Advantage insurer Zing Health has filed a new lawsuit against HHS and CMS, alleging the agencies failed to remedy harms caused by its improper termination from the MA program last year. The insurer filed the complaint Nov. 26 in…
A Massachusetts federal judge issued a preliminary injunction temporarily preventing Medicaid cuts to certain nonprofit reproductive health and abortion service providers for 23 plaintiff jurisdictions, according to a Dec. 2 ruling. The judge found the cuts, part of the One…