5 recent payer lawsuits, settlements

From Humana suing HHS over a new Medicare Advantage clawback rule, to Prisma Health accusing UnitedHealthcare of breaching a confidentiality agreement, here are five lawsuits and settlements involving payers Becker's has reported since Aug. 16.  

1. UCare and the University of Minnesota settled a lawsuit brought by the Minneapolis-based university in November that sought to stop UCare from expanding its board of directors. 

2. Humana is challenging a CMS rule that would implement stricter auditing standards on Medicare Advantage plans. 

3. Greenville, S.C.-based Prisma Health alleged UnitedHealthcare breached its confidentiality agreement with the system in the midst of contract negotiations. UnitedHealth hit back, alleging the health system "coordinated a media effort to put pressure" on the insurance giant. 

4. Cincinnati-based Bon Secours Mercy Health is suing Anthem Blue Cross Blue Shield of Virginia for $93 million, alleging the payer owes the health system millions in unpaid claims.

5. An Amedisys stockholder filed a lawsuit against the home health provider and its directors, alleging they misrepresented key information in a proxy statement related to UnitedHealth's proposed acquisition of the company.

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