A federal judge has approved a $2.8 billion settlement resolving antitrust claims brought by healthcare providers against the Blue Cross Blue Shield Association and its independent entities, ending more than a decade of litigation. The settlement was approved Aug. 19…
Legal
Providence hospitals across California are the latest to sue Kaiser Permanente over allegations that the organization’s health plan has underpaid for emergency and post-stabilization care provided to Kaiser members. The Providence complaint reviewed by Becker’s was filed April 11 in…
A SelectQuote shareholder has filed a proposed class action lawsuit against the insurance broker and its top executives, alleging the company misled investors about its operations and financial health amid a Department of Justice investigation. In May, the DOJ filed…
UnitedHealth Group is complying with criminal and civil investigations into its Medicare Advantage business, the company said in a July 24 regulatory filing. The disclosure comes after The Wall Street Journal reported in May that the Justice Department has been…
Humana has reintroduced a lawsuit challenging its Medicare Advantage star ratings. On July 18, U.S. District Judge Reed O’Connor dismissed the case without prejudice. Mr. O’Connor ruled that Humana had not exhausted all of its administrative appeal options when it…
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Attorneys representing Luigi Mangione, the man accused of killing UnitedHealthcare CEO Brian Thompson in late 2024, have accused the Manhattan District Attorney’s Office of improperly obtaining over 120 pages of confidential medical records from Aetna, Mangione’s health insurer. In a…
A judge has dismissed Humana’s lawsuit challenging its Medicare Advantage star ratings. In a July 18 order, U.S. District Judge Reed O’Connor dismissed the case without prejudice, meaning it could be reintroduced. In his filing, Mr. O’Connor wrote that Humana…
A coalition of 21 Democratic-led states are suing HHS and CMS over new ACA rules they allege would impose significant barriers to receiving health coverage. The lawsuit, filed July 17 in the U.S. District Court for the District of Massachusetts,…
California’s insurance commissioner has issued a cease and desist order against Innovative Partners for illegally acting as an insurer in the state and offering health coverage without proper certification. The state also served 10 additional cease and desist orders to…
AdventHealth’s Shawnee Mission Medical Center is suing Blue Cross and Blue Shield of Kansas City, alleging the insurer improperly withheld more than $2 million in payments by denying hundreds of valid medical diagnoses submitted by the hospital’s physicians. The lawsuit,…