On March 11, 2013, three UnitedHealth Group (UnitedHealth) beneficiaries filed a putative class action in New York federal court alleging that UnitedHealth implemented systemic practices designed to eliminate or discourage[…]
The Department of Health & Human Services has issued a final rule regarding health insurance market rules and rate review under the ACA. This final rule implements provisions related to[…]
Litigation and Regulatory · Managed Care
The Department of Health & Human Services recently released the long-awaited final regulations regarding standards related to essential health benefits, actuarial value, and accreditation, which are integral to the health[…]
In December 2012, America’s Health Insurance Plans (AHIP) and the Blue Cross and Blue Shield Association (BCBSA) suggested that HHS consider imposing surcharges and limiting plan choices for individuals who[…]
On December 20, 2012, a federal district court in Arizona dismissed all remaining claims by individuals challenging the legality of the individual mandate. The ruling now clears the way for[…]
On December 2, 2011, the Centers for Medicare and Medicaid Services (CMS) issued two rules regarding the medical loss ratio (MLR). CMS issued an interim final rule requiring issuers[…]
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