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Class Action Lawsuit Alleges Antitrust Violations Against Blue Cross Blue Shield
LITTLE ROCK, Ark. - An Arkansas resident filed a class action lawsuit on March 21 in an Arkansas federal court, alleging that agreements between Blue Cross Blue Shield Association (BCBSA) and its...
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Hospital Sues Insurer In S.C. Federal Court For Failure To Pay Benefits
GREENVILLE, S.C. - A South Carolina hospital sued a health insurer in federal court on April 29, alleging that it failed to pay benefits for services provided to the defendant's insured (Greenville...
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Medical Practice Sues Insurer In Federal Court For Wrongful Denial Of Benefits
NEWARK, N.J. - A health care provider that received an assignment of benefits from one of its patients sued a health insurance company on April 11 in a New Jersey federal court for allegedly wrongfully...
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Pa. Federal Judge Grants Preliminary Injunction In Birth Control Mandate Case
PITTSBURGH - A Pennsylvania federal judge on April 19 granted a motion for a preliminary injunction in a case brought by a private, nonprofit college, two for-profit entities and the owners of those...
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N.Y. Federal Judge Dismisses Challenge To Birth Control Mandate; Claims Not Ripe
BROOKLYN, N.Y. - A New York federal judge on April 12 granted the federal government's motion to dismiss a challenge to the birth control mandate contained in the Patient Protection and Affordable Care...
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Texas Federal Judge Dismisses Birth Control Mandate Suit
DALLAS - A Texas federal judge on April 9 granted a motion to dismiss a challenge to the birth control mandate contained in the Patient Protection and Affordable Care Act (PPACA), finding that the case...
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D.C. Circuit Court Denies Motion For Injunction In Birth Control Suit
WASHINGTON, D.C. - A District of Columbia U.S. Circuit Court of Appeals panel on April 17 denied an emergency motion for injunction pending the appeal of the dismissal of a challenge of changes to...
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Government Asks 8th Circuit To Affirm Decision In Birth Control Mandate Suit
ST. LOUIS - The federal government on April 10 asked the Eighth Circuit U.S. Court of Appeals to affirm a lower court's decision denying a preliminary injunction in a suit challenging the "birth...
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Government Asks Appeals Court To Affirm Dismissal Of Birth Control Suit
WASHINGTON, D.C. - The federal government on April 17 urged the District of Columbia Circuit U.S. Court of Appeals to affirm the dismissal of a case challenging a provision in the Patient Protection...
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Michigan Appeals Court Modifies Class Definitions In Reimbursement Dispute
DETROIT - A Michigan appeals panel on April 18 partially affirmed and partially reversed class certification of five classes in a suit alleging that a health insurer failed to properly reimburse...
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Mich. Appeals Court Affirms, Reverses Class Order In Reimbursement Suit
DETROIT - A Michigan appeals panel on April 18 partially affirmed and partially reversed class certification in a suit alleging that a health insurer failed to properly reimburse chiropractors...
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New Jersey Federal Judge Recuses Self From Reimbursement Class Suit
NEWARK, N.J. - A New Jersey federal judge on April 15 recused himself from a class action multidistrict litigation case involving a dispute over out-of-network reimbursement rates, saying he had a...
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New Jersey Federal Judge Declines To Recuse Self From Reimbursement Suit
NEWARK, N.J. - A New Jersey federal judge on April 15 declined to recuse himself from a case in which health plan participants are suing a health care insurer for using flawed data to calculate the...
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11th Circuit: Participant's Benefits-Denial And Disclosure Claims Fail
ATLANTA - A plan insurer's calculation of benefits due to a participant for his out-of-network surgery was not wrong under the plan terms, and the insurer did not violate the Employee Retirement Income...
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Federal Judge Dismisses 4 Defendants In Payment Dispute; 7 Defendants Remain
NEWARK, N.J. - A New Jersey federal judge on April 17 dismissed claims against four health care payers in a reimbursement dispute, saying that either the defendants were not subject to the Employee...
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Federal Judge Upholds Benefit Denial Despite Faulty Administrative Claims...
MEMPHIS, Tenn. - A health insurance plan administrator's denial of benefits was not arbitrary and capricious, even though the administrator gave three different reasons for the denial at different...
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New York Federal Judge Dismisses Copay Dispute For Lack Of Standing
NEW YORK - A New York federal judge on April 19 dismissed a health care copayment dispute, finding that the plaintiff lacked standing to bring her claims (Marianne Gates v. United Healthcare Insurance...
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Wisconsin Court Affirms, Reverses Award Judgment In Health Care Bill Suit
WAUSAU, Wis. - A Wisconsin appeals court on April 2 partially affirmed and partially reversed a dispute seeking payment for medical bills from a health care provider after the provider failed to obtain...
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Texas Supreme Court: Providers Cannot Assert Pay Violation Against HMO
AUSTIN, Texas - The Texas Supreme Court on April 19 held that health care providers could not assert a prompt-pay violation against a health maintenance organization because it had contracts only with...
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Oklahoma Federal Judge Declines To Dismiss Prescription Drug Payment Suit
OKLAHOMA CITY - An Oklahoma federal judge on April 18 denied a motion to dismiss a breach of contract claim related to the payment for prescription drugs, saying that the court had personal...
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