A union health and welfare benefit fund filed a class action antitrust lawsuit Aug. 19 against Columbus-based OhioHealth, alleging the system’s contracts with insurers blocked lower-cost plan designs and inflated what payers paid for care, according to court documents accessed…
Legal
Ten California addiction providers filed a lawsuit against Cigna on Aug. 19, claiming the insurer shortchanged them by $12.8 million. The lawsuit spans March 1, 2022, through March 15, 2026. Before 2015, Cigna would pay billed charges in full or…
Alignment Healthcare is asking a federal court to throw out a whistleblower lawsuit brought by a former executive who alleged retaliation from company leadership after reporting concerns over its accounting practices. The Medicare Advantage insurer filed its motion to dismiss…
UnitedHealth Group shareholders are renewing pressure on the company in an amended complaint, filed Aug. 7 in the U.S. District Court for the District of Minnesota. An initial complaint from July 2024 focused on concerns over the “firewall” between UnitedHealthcare…
The U.S. subsidiary of Glenmark Pharmaceuticals will pay Humana nearly $15.3 million in the wake of antitrust and consumer protection lawsuits. Glenmark disclosed the settlement in an Aug. 11 filing with the National Stock Exchange of India. The document said…
Advertisement
A federal appeals court has ruled that the government’s methodology for calculating the qualifying payment amount within the No Surprises Act’s arbitration process is partly unlawful, a decision that could force insurers to recalculate QPAs and raise some benchmark payments.…
A federal judge has thrown out a False Claims Act lawsuit accusing Sentara Health Plans of fraudulently inflating ACA marketplace premiums in Virginia after multiple large insurer competitors left the market in 2017. Chief U.S. District Judge Elizabeth Dillon found…
A federal judge dismissed most of a class-action lawsuit alleging the Blue Cross Blue Shield Association shared federal employees’ health-related website data with TikTok, Meta, Google and LinkedIn without consent. The lawsuit dates back to 2023. A January 2024 amended…
Four possible class-action lawsuits have emerged in the wake of Clover Health’s data breach. The Medicare Advantage insurer disclosed a cybersecurity incident July 17. An unauthorized party gained access to some health plan employees’ accounts through social engineering earlier that…
Jacksonville, Fla.-based management services organization Complete Health Partners Holdings has agreed to pay $14.1 million to settle allegations that it violated the False Claims Act by causing false diagnosis codes to be submitted to boost Medicare Advantage payments. The settlement…