Humana 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
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Legal Actions/Court Decisions
White 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
Read MoreAll in: Drugmakers say yes, they’ll negotiate with Medicare on price, so reluctantly
(By Sydney Lupkin for NPR) For the first time, Medicare is beginning to negotiate the prices of prescription drugs. Despite
Read MoreCigna sued by shareholder following ProPublica report on claims denials
(By Jakob Emerson for Becker’s Hospital Review) A shareholder is suing the Cigna Group in Delaware’s Court of Chancery to
Read MoreJudge blocks $15B Aetna Medicare Advantage contract for NYC retirees
(By Rylee Wilson for Becker’s Hospital Review) A New York State Supreme Court judge has permanently blocked the implementation of
Read MoreUnderstanding the Role of the FTC, DOJ, and States in Challenging Anticompetitive Practices Of Hospitals and Other Health Care Providers
(By Scott Hulver and Zachary Levinson for Kaiser Family Foundation Published: Aug 07, 2023) Policymakers and the media have been
Read MoreAetna Medicare Advantage plan moving ahead, NYC mayor says
(By Rylee Wilson for Becker’s Hospital Review) New York City Mayor Eric Adams is overriding the city comptroller’s attempt to
Read MoreNYC declines to enact Aetna Medicare Advantage plan, citing ongoing lawsuit
(By Rylee Wilson for Becker’s Hospital Review) New York City’s comptroller is halting implementation of an Aetna Medicare Advantage plan
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