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…
Legal
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…
Advertisement
A federal judge in Minnesota has denied UnitedHealth Group’s request to narrow the scope of discovery in an ongoing lawsuit that accuses the insurer of using artificial intelligence to wrongfully deny Medicare Advantage members post-acute care. The case, filed in…
CVS Caremark will pay $32.1 million to the state of Oklahoma after the pharmacy benefit manager allegedly held back savings from the state’s employee health plan, according to a Sept. 9 news release from Oklahoma Attorney General Gentner Drummond. The…
A settlement has been finalized in a decadelong lawsuit that claimed Aetna and Optum used misleading billing practices to conceal administrative fees for chiropractic and physical therapy services as medical charges. Chief Judge Martin Reidinger of the federal Western District…
UnitedHealthcare is suing Radiology Partners and its Arizona-based affiliate, Sonoran Radiology, alleging the companies have been “abusing” the No Surprises Act’s independent dispute resolution process and “funneling millions into the pockets of its private-equity owners.” The complaint, filed Aug. 8…
MVP Health Plan has agreed to overhaul its mental health provider directory as part of a settlement with the New York Attorney General’s Office. The settlement follows an investigation from the office that uncovered systemic issues with MVP’s network, including…