Premera Blue Cross is suing a weight loss clinic, its physician-owner and its revenue cycle management firm, alleging repeated abuse of the No Surprises Act’s independent dispute resolution process to extract inflated payments from the insurer. The lawsuit, filed April…
Legal
A federal judge in Minnesota denied the state’s motion challenging the federal government’s deferral of Medicaid funds, according to an April 6 opinion and order. The state filed a complaint against CMS, HHS and their respective leaders March 2. Earlier…
Philadelphia-based Jefferson Health filed a lawsuit against Aetna over its “level of severity inpatient payment policy” for Medicare Advantage beneficiaries, according to an April 6 filing in a Pennsylvania federal court. The policy took effect in 2026 after Aetna bumped…
A judge for the U.S. District Court for the District of Massachusetts denied a motion to dismiss a lawsuit alleging an antitrust conspiracy by healthcare technology company Zelis and five major health insurers, according to a March 30 court filing.…
A federal judge is allowing most claims to move forward in a proposed class action lawsuit accusing Carelon Behavioral Health of maintaining an inaccurate and misleading directory of in-network mental health providers for New York state employees. Carelon, the health…
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A federal judge has dismissed a class action lawsuit that accused UnitedHealthcare of illegally installing third-party tracking software on its website to collect visitor data without consent. The case, originally filed in October 2025, was brought by a California resident…
A trustee of Dallas-based Steward Health Care is suing Aetna to recover $6.36 million the carrier allegedly owes, according to a March 27 lawsuit filed in the Houston division of the southern district of Texas U.S. bankruptcy court. In the…
A judge denied a motion to dismiss a lawsuit alleging a broker kickback scheme involving CVS Health’s Aetna, Elevance Health and Humana, according to a March 25 filing in the U.S. District Court in Massachusetts. The judge also ruled that…
Federal lawmakers have introduced bipartisan legislation that would cap patients’ insulin costs at $35 per month. Sens. Jeanne Shaheen, D-N.H., Susan Collins, R-Maine, Raphael Warnock, D-Ga., and John Kennedy, R-La., introduced the bill March 25. The $35 monthly price cap…
A Canadian religious group, Mission Fund, is suing UnitedHealth Group because the company did not include the group’s proposal for reporting on acquisition consequences in its 2026 proxy materials, according to a March 20 filing in the federal district court…