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…
Legal
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,…
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…
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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…
Elevance Health filed a complaint Sept. 12 against a former senior underwriting executive who took another job at a competitor despite having signed a noncompete agreement. According to the lawsuit, which was reviewed by Becker’s, Maria Gregory started a position…
The Arizona Department of Insurance and Financial Institutions has ordered RespondersHealth to cease and desist its insurance business in the state, as the company is unauthorized to sell health insurance. According to the Aug. 22 order, in early 2025, the…