5 recent lawsuits, settlements involving payers

Morgan Haefner - Print  | 

Here are five lawsuits and settlements involving payers posted by Becker's Hospital Review in the past month.

1. UnitedHealth hit with class-action reimbursement suit
A class-action lawsuit filed Sept. 7 accused UnitedHealth of failing to fairly reimburse out-of-network providers by bypassing rates established by vendor contracts.

2. National brands sue Anthem, BCBS, cite 'continuing conspiracy' to stifle competition
A cast of national brands — including the likes of FedEx, Boeing, Meijer, and Walgreens — filed an antitrust complaint against Anthem and Blue Cross Blue Shield, alleging that the insurers aimed to use their market leverage to influence employer-sponsored health insurance plans. 

3. Former Humana CMO files discrimination suit over firing
Sandra Guerra, MD, former Humana CMO, is suing the company for alleged employment discrimination over her race and gender, which she claims played a role in her firing.

4. Former NFL players plead guilty to defrauding insurance supplement
Three former football players pleaded guilty to defrauding an NFL health reimbursement plan as part of a nationwide scheme.

5. Provider files lawsuit to bar Centene subsidiary from winning Missouri prison contract
Brentwood, Tenn.-based Corizon, which has been providing Missouri's prison medical care for nearly 30 years, filed a lawsuit against the state after it lost out on renewing the contract to Centene subsidiary Centurion Health.

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