8 recent payer lawsuits, settlements

From an appellate court blocking an attempt to prevent Horizon Blue Cross Blue Shield's reorganization, to arbitrators ruling that UnitedHealthcare must pay Envision Healthcare $91 million in a billing dispute, here are eight lawsuits and settlements involving payers Becker's has reported since May 2:   

1. A New Jersey appellate court blocked a challenge from a nonprofit and a nurses union seeking to prevent Horizon Blue Cross Blue Shield from reorganizing as a nonprofit mutual holding company.

2. Ford Motor Co. is suing Blue Cross Blue Shield of Michigan, along with the BCBS Association, over an alleged antitrust conspiracy among Blues plans to fix healthcare prices, thereby overcharging Ford for health insurance provided to its employees. 

3. A group of retired New York City employees are suing Mayor Eric Adams and other city officials in an attempt to block the city's planned switch to an Aetna Medicare Advantage plan for the 250,000 retired city workers and dependents the city provides health coverage for. 

4. Eight Florida hospitals can pursue a lawsuit against Cigna after a federal appeals court  overturned a lower court's ruling in favor of the payer. The hospitals allege that Cigna paid less than the community rate for care provided to the insurer's members. 

5. Walgreens is asking a judge to overturn an arbitrator's $642 million award to Humana in a drug-pricing dispute between the companies. 

6. Aetna, UnitedHealthcare and two other insurance companies will pay a combined $4.6 million to New York state to settle allegations the companies charged unapproved rates for student insurance. 

7. A Connecticut medical practice's lawsuit alleging Centene failed to reimburse it for COVID-19 testing services was thrown out after the practice missed a deadline to refile the case.

8. Arbitrators ruled that UnitedHealthcare must pay $91 million in damages to physician services company Envision Healthcare over allegations the payer breached their contract by reducing reimbursement rates.

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.


Top 40 articles from the past 6 months