9 recent legal actions involving payers

From a proposed class action lawsuit alleging Oscar Health misled investors, to 40 Florida medical practices suing UnitedHealth over the pricing and payment of medical bills, here are nine recent legal actions involving payers:

1. A federal judge in California certified a class action lawsuit against Aetna on April 26 from at least 23 members who claim the CVS Health subsidiary denied them coverage for medically necessary liposuction treatments.

2. A federal court in New Jersey ruled April 27 that Humana's lawsuit against Celgene can move forward, but must prove its claims that the drugmaker engaged in conduct that led to artificially high prices.

3. Dallas-based Tenet Healthcare and 19 of its hospitals are accusing Cigna of reimbursing claims at low rates and wrongfully denying claims for emergency care, according to an April 28 lawsuit. 

4. Forty Florida medical practices filed a lawsuit against UnitedHealth May 2 for the pricing and payment of medical bills. The practices allege that the payer issued drastically low reimbursement rates to force providers out of network, according to the lawsuit. 

5. Houston-based Memorial Hermann Health System said Blue Cross Blue Shield of Texas owes it over $3 million in claims payments, according to federal court documents filed May 5.

6. An Oscar Health stockholder filed a proposed class action May 12 in the Southern District Court of New York, alleging the insurtech company misled investors about financial issues caused by COVID-19 ahead of its initial public offering in March 2021.

7. A proposed class action lawsuit was filed against Aetna Healthcare of California May 16 alleging the insurer evaded its obligations to fully cover COVID-19 diagnostic testing. 

8. A federal judge in North Dakota May 16 temporarily blocked HHS and the Equal Employment Opportunity Commission from requiring the Christian Employers Alliance and its members to provide health plans that cover employees' gender transition procedures. 

9. Cigna was hit with a proposed class action lawsuit May 17 alleging the payer improperly denied COVID-19 testing claims. 

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