Here are nine legal developments Becker’s has reported since October 11:
- Blue Cross Blue Shield of Illinois is facing a lawsuit accusing the payer of denying gender-based care under a self-funded health plan, thereby violating the ACA’s nondiscrimination clause. A federal judge in Washington state dismissed the class-action lawsuit against the defendants on November 11.
- UCare is facing a lawsuit from the University of Minnesota, which says UCare’s proposal to expand its board of directors would reduce the university’s influence over the nonprofit health plan it created .
- UnitedHealth’s group OptumRx agreed to pay $15 million to settle allegations of high prescription drug prices in Ohio, after denying it had reached a final agreement with the state. The Ohio Attorney General’s indictment alleges that the pharmacy operator overcharged the state department of employee benefits by $15.8 million from 2015 to 2018. OptumRx admits that no wrongdoing or responsibility as part of the settlement.
- UnitedHealthcare of New England is facing a lawsuit from the ACLU of Rhode Island and the Rhode Island Public Transit Authority over a 2021 data breach that compromised the data of more than 20,000 former and current employees.
- Cigna is being sued by the Justice Department for allegedly making its Medicare Advantage members worse off by submitting false medical records to the government in order to get higher reimbursements.
- Anthem Health Plans of Virginia is facing a lawsuit from Winchester, Va.-based Valley Health that the payer claims owes the health system $11.4 million in overdue payments. Valley Health has not canceled its contract with Anthem because of the potential harm to the community, according to court documents.
- Florida The federal Medicaid program could still be barred from reimbursing patients for most types of reproductive care. On October 12, a judge denied a preliminary injunction request from transgender rights groups to block the federal law from taking effect.
- ProMedica and Maumee, Ohio, McLaren St. Luke’s Hospital reached a settlement in a landmark lawsuit, meaning the hospital will offer members of ProMedica’s in-network Super Health Plan.
- Lawyers as representatives Blue Cross Blue Shield Members in a $2.67 billion antitrust settlement with the BCBS Association asked a federal appeals court on Oct. 5 to expedite the objection process. Four appeals of the ruling were filed Sept. 7 on behalf of six defendants, including Home Depot.