CMS issues another round of Medicare Advantage fines to 13 health plans
(By: Jakob Emerson for Becker’s Hospital Review) CMS has fined 13 health plans a combined $1.5 million for Medicare Advantage
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Legal Actions/Court Decisions
Oregon declares health share company an unlicensed insurer, orders it to cease operations
(By: Jakob Emerson for Becker’s Hospital Review) Oregon’s Division of Financial Regulation has ordered ClearShare Health and four affiliated entities
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Connecticut fines 5 insurers over alleged mental health parity violations
(By: Elizabeth Casolo for Becker’s Hospital Review) The Connecticut Insurance Department fined Aetna, Cigna, ConnectiCare, UnitedHealthcare and Anthem over alleged mental health
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7 recent payer fines from states
(By: Jakob Emerson for Becker’s Hospital Review) Payers have faced state penalties in 2026 for slow reimbursements, mishandled member complaints,
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Louisiana bill would require human review of AI-driven coverage denials
(By: Jakob Emerson for Becker’s Hospital Review) Louisiana lawmakers are advancing a bill that would restrict how payers use AI
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Missouri sues drugmakers, PBMs over insulin pricing
(By: Ella Jeffries for Becker’s Hospital Review) The Missouri attorney general’s office has filed a lawsuit against 19 pharmacy benefit
Read MoreAHA sues to block ‘unlawful’ 340B changes: 4 things to know
(By: Alan Condon for Becker’s Hospital Review) The American Hospital Association, Maine Hospital Association and four safety-net hospitals have filed
Read MoreInsurers claim 39% of ‘No Surprises’ disputes ineligible for arbitration
(By: Elizabeth Casolo for Becker’s Hospital Review) Health plans found that 39% of provider’s surprise billing disputes were ineligible for
Read MoreCourt ruling allows Medicare to negotiate prices for larger number of drugs
(By John Wilkerson for STAT published Oct. 7, 2025) A federal appeals court unanimously rejected a Novo Nordisk challenge to
Read MoreCourt orders Humana to pay $32M in fees following False Claims case
(By: Jakob Emerson for Becker’s Hospital Review) A federal court ordered Humana to pay more than $32 million in attorneys’
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