CMS faces another challenge of Medicare Advantage star ratings methodology
(By Rylee Wilson for Becker’s Hospital Review) A Medicare Advantage insurer facing termination of one of its contracts from the
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Legal Actions/Court Decisions
UnitedHealth, Amedisys deal under more scrutiny
(By Rylee Wilson for Becker’s Hospital Review) Oregon regulators will open a review into UnitedHealth Group’s proposed acquisition of Amedisys,
Read MoreHumana sued over Medicare Advantage 340B payments
(By Rylee Wilson for Becker’s Hospital Review) Montgomery, Ala.-based Baptist Health is suing Humana, alleging the insurer’s Medicare Advantage plan
Read MoreWalgreens to pay Humana $360M to settle drug pricing lawsuit
(By Rylee Wilson for Becker’s Hospital Review) Walgreens will pay Humana $360 million to settle a lawsuit alleging the pharmacy
Read MoreFeds want Humana’s Medicare Advantage clawback lawsuit thrown out
(By Rylee Wilson for Becker’s Hospital Review) The Justice Department wants Humana’s lawsuit challenging a CMS rule that would implement
Read MoreCareFirst sues J&J over alleged anticompetitive biosimilar tactics
(By Andrew Cass for Becker’s Hospital Review) CareFirst BlueCross BlueShield has filed a proposed class-action lawsuit accusing Johnson & Johnson
Read MoreHumana used AI tool from UnitedHealth to deny Medicare Advantage claims, lawsuit alleges
(By Jakob Emerson for Becker’s Hospital Review) Humana used an artificial intelligence tool owned by UnitedHealth Group to wrongfully deny Medicare
Read MoreWhite House proposes to ‘march in’ on patents for costly drugs
(By Sydney Lupkin for NPR) The Biden administration is taking another crack at high prescription drug prices. This time its
Read MorePatients Expected Profemur Artificial Hips to Last. Then They Snapped in Half.
(By Brett Kelman and Anna Werner, CBS News and KFF Health News) Bradley Little, a physical education teacher in Arizona,
Read MoreUnitedHealth faces class action lawsuit over algorithmic care denials in Medicare Advantage plans
(By Casey Ross and Bob Herman for STAT) A class action lawsuit was filed Tuesday against UnitedHealth Group and a
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