A federal judge has dismissed the primary claims in a lawsuit that alleged Johnson & Johnson mismanaged its employees’ prescription drug benefits, finding that the plaintiffs failed to demonstrate they suffered concrete harm. On Nov. 26, the federal court in…
Legal
UnitedHealthcare has filed a lawsuit against the director of the Idaho Department of Insurance, arguing that the state’s recent efforts to regulate Medicare Advantage plan marketing and broker commissions are in violation of the U.S. Constitution. The lawsuit, filed Nov.…
Humana is not letting go of its 2025 Medicare Advantage star ratings case. In the wake of the dismissal of Humana’s lawsuit with prejudice in October, the insurer announced plans to appeal to the 5th U.S. Circuit Court of Appeals…
California patients are suing Blue Shield of California and Magellan Health over alleged inaccurate mental health provider directories, according to a class-action lawsuit filed Nov. 19. The lawsuit said Blue Shield of California and Magellan work together to administer behavioral…
A federal court in Florida has approved a $3.4 million class action settlement resolving claims that Aetna improperly denied coverage for proton beam radiation therapy to treat cancer. The lawsuit was filed in 2020 by a Florida resident whose request…
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A federal jury in Florida has convicted an insurance brokerage president and the CEO of a marketing company for their roles in a scheme to fraudulently enroll individuals in subsidized ACA plans to obtain commission payments from insurers. The scheme…
Horizon Blue Cross Blue Shield of New Jersey has agreed to pay $100 million to settle allegations that it fraudulently induced the state to award it a multibillion-dollar contract to administer employee health benefits and then overcharged throughout the contract’s…
Humana has filed a lawsuit against ChenMed, which operates medical centers for older patients, in Delaware over breach of contract and other alleged harms, according to a heavily redacted Nov. 7 court filing. Humana and ChenMed jointly operate JenCare Senior…
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…