Cigna has agreed to settle a “ghost network” class-action lawsuit for $5.7 million, according to October federal court filings in Illinois. Plaintiffs Andrew and Andrea Hecht alleged that in 2021, they received bills from a hospital saying it was out…
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Molina Healthcare is facing a proposed class-action lawsuit from an investor who alleges the company misled shareholders about rising medical costs and its 2025 earnings projections. The complaint, filed Oct. 3 in the U.S. District Court for the Central District…
A federal judge in Washington state ruled in favor of Elevance Health in a case involving a former executive who was accused of violating a relationship policy and was terminated, according to an Oct. 3 order granting a motion for…
A federal judge in Massachusetts denied a bid by a coalition of 21 Democratic-led states to halt new ACA rules they argue will impose significant barriers to receiving health coverage. The lawsuit was filed in July challenging a final rule…
A federal court ordered Humana to pay more than $32 million in attorneys’ fees, costs and interest following the resolution of a False Claims Act case in 2024 over the company’s Medicare Part D bids. In a Sept. 19 order,…
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UnitedHealth Group has asked a Minnesota federal court to throw out a proposed class action lawsuit filed against it by the country’s largest pension fund. The lawsuit, originally filed by the California Public Employees’ Retirement System (CalPERS) in May 2024 and…
A federal judge has vacated a CMS rule that would have allowed the agency to claw back billions of dollars in alleged Medicare Advantage overpayments, siding with Humana in a closely watched legal battle. On Sept. 25, the U.S. District…
A federal judge has granted preliminary approval to Elevance Health’s $12.9 million settlement resolving a class action lawsuit that accused the insurer of improperly denying coverage for residential treatment of mental health and substance use disorders. The lawsuit was originally…
A woman is suing Elevance Health after being denied coverage for Zepbound — Eli Lilly’s weight-loss drug — to treat her sleep apnea, a court filing said. According to the complaint, the FDA approved Zepbound “as the first and only…
The Department of Justice has filed a False Claims Act lawsuit against Inland Empire Health Plan (IEHP), alleging the Rancho Cucamonga, Calif.-based insurer misused federal Medicaid expansion funds and submitted false statements to the state. The Sept. 17 complaint was…